Healthcare Provider Details
I. General information
NPI: 1851997571
Provider Name (Legal Business Name): JANET ESTELLA HUNTER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/08/2020
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 PINE BROOK LANE E9
NORTH SPRINGFIELD VT
05150-9613
US
IV. Provider business mailing address
10 PINE BROOK LANE E9
NORTH SPRINGFIELD VT
05150-9613
US
V. Phone/Fax
- Phone: 802-886-2304
- Fax:
- Phone: 802-886-2304
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 026.0024175 |
| License Number State | VT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: