Healthcare Provider Details

I. General information

NPI: 1750425898
Provider Name (Legal Business Name): KARIN NELSON HUNT MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 WEST 1400 NORTH SUITE A
LOGAN UT
84341
US

IV. Provider business mailing address

1025 N 130 W APT 100
LOGAN UT
84341-8468
US

V. Phone/Fax

Practice location:
  • Phone: 435-752-5302
  • Fax: 435-753-9007
Mailing address:
  • Phone: 435-787-4045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number369995-3501
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: