Healthcare Provider Details

I. General information

NPI: 1588321020
Provider Name (Legal Business Name): TERRY ANGELA HUNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3169 BEECHER RD
FLINT MI
48532
US

IV. Provider business mailing address

3169 BEECHER RD
FLINT MI
48532
US

V. Phone/Fax

Practice location:
  • Phone: 616-301-8000
  • Fax: 810-744-1306
Mailing address:
  • Phone: 616-301-8000
  • Fax: 810-744-1306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704201067
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704201067
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: