Healthcare Provider Details

I. General information

NPI: 1184349623
Provider Name (Legal Business Name): RAMANDA ANN HUNT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 W 3RD ST STE B
PEMBROKE NC
28372-9629
US

IV. Provider business mailing address

923 W 3RD ST STE B
PEMBROKE NC
28372-9629
US

V. Phone/Fax

Practice location:
  • Phone: 910-775-9027
  • Fax: 910-521-8091
Mailing address:
  • Phone: 910-775-9027
  • Fax: 910-521-8091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017246
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: