Healthcare Provider Details

I. General information

NPI: 1295617629
Provider Name (Legal Business Name): BRANDI HUNTER RN MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UNIVERSITY PLZ STE 204
HACKENSACK NJ
07601-6211
US

IV. Provider business mailing address

175 ROSE HILL AVE
WENONAH NJ
08090-1516
US

V. Phone/Fax

Practice location:
  • Phone: 973-241-1356
  • Fax:
Mailing address:
  • Phone: 856-264-0893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15602500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number26NR23127900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: