Healthcare Provider Details

I. General information

NPI: 1245346519
Provider Name (Legal Business Name): DEBRA E HUNTER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA E LETCHER-HUNTER APRN

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 02/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 2ND AVE SW
LARGO FL
33770-2298
US

IV. Provider business mailing address

12275 104TH ST
LARGO FL
33773-1924
US

V. Phone/Fax

Practice location:
  • Phone: 727-584-7706
  • Fax: 727-501-7332
Mailing address:
  • Phone: 727-309-0618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1746032
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: