Healthcare Provider Details

I. General information

NPI: 1316892847
Provider Name (Legal Business Name): MICHAEL HUNTER APRN, ACNPC-AG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 09/03/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RENAISSANCE SQUARE 141 ROUTE 70 SUITE B
MARLTON NJ
08053
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-596-9057
  • Fax: 856-596-0837
Mailing address:
  • Phone: 856-596-9057
  • Fax: 856-596-0837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ15449300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: