Healthcare Provider Details

I. General information

NPI: 1851918072
Provider Name (Legal Business Name): TERA HUNT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2020
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11684 HURON ST STE 104
NORTHGLENN CO
80234-2942
US

IV. Provider business mailing address

11684 HURON ST STE 104
NORTHGLENN CO
80234-2942
US

V. Phone/Fax

Practice location:
  • Phone: 720-588-3249
  • Fax:
Mailing address:
  • Phone: 720-588-3249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0995943-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: