MEDICARE: ABBY WELLS HUNTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704292296NSA2005E	MI

General Provider Information

NPI Number	:	1366077737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY WELLS HUNTER

Provider Business Mailing Address
First Line	:	1621 E BROOMFIELD ST STE C
Second Line	:
City	:	MOUNT PLEASANT
State	:	MI
Zip	:	48858-5427
Country	:	US
Telephone Number	:	989-817-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1621 E BROOMFIELD ST STE C
Second Line	:
City	:	MOUNT PLEASANT
State	:	MI
Zip	:	48858-5427
Country	:	US
Telephone Number	:	989-817-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2020
Last Update Date	:	03/06/2020

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Directions to “ ABBY WELLS HUNTER ” Practice Location

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