Healthcare Provider Details

I. General information

NPI: 1871129593
Provider Name (Legal Business Name): VENNESHA HUNTER APRN, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2020
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BRIDLE PATH LN
SEYMOUR CT
06483-3065
US

IV. Provider business mailing address

7 BRIDLE PATH LN
SEYMOUR CT
06483-3065
US

V. Phone/Fax

Practice location:
  • Phone: 475-298-7885
  • Fax:
Mailing address:
  • Phone: 475-298-7885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number407951
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: