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NPI Code Detail

MEDICARE: OPHILIA HULDA HUNTER APRN, FNP-BC

MEDICARE: OPHILIA HULDA HUNTER APRN, FNP-BC
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
1363LF0000XFamily Nurse PractitionerNP1033003DC

General Provider Information

NPI Number : 1790433340
Entity Type Code : Individual
Provider Name (Legal Business Name) : OPHILIA HULDA HUNTER APRN, FNP-BC
Provider Business Mailing Address
First Line : 4555 WISCONSIN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20016-4619
Country : US
Telephone Number : 202-537-1587
Fax Number :
Provider Business Practice Location Address
First Line : 4555 WISCONSIN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20016-4619
Country : US
Telephone Number : 202-537-1587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2022
Last Update Date : 03/26/2022

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