Healthcare Provider Details

I. General information

NPI: 1669294484
Provider Name (Legal Business Name): KRISTEN L HUNTER BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2024
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N HOOPER ST
CARO MI
48723-1476
US

IV. Provider business mailing address

2788 E DAYTON RD
CARO MI
48723-9450
US

V. Phone/Fax

Practice location:
  • Phone: 989-598-5424
  • Fax:
Mailing address:
  • Phone: 989-598-5424
  • Fax: 989-673-5424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number4704218260
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: