Healthcare Provider Details

I. General information

NPI: 1922425008
Provider Name (Legal Business Name): MARTA HUNT RN, BSN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF WASHINGTON MEDICAL CTR 1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

511 NE 79TH ST
SEATTLE WA
98115-4127
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-4628
  • Fax:
Mailing address:
  • Phone: 206-932-1783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN00073238
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: