MEDICARE: NANCY K HUNT NP-C

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	363L00000X	Nurse Practitioner	4704103070	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841224706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY K HUNT NP-C

Provider Business Mailing Address
First Line	:	2071 RIVERVIEW ST
Second Line	:
City	:	UBLY
State	:	MI
Zip	:	48475-9786
Country	:	US
Telephone Number	:	989-658-8157
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 AUSTIN ST
Second Line	:
City	:	SANDUSKY
State	:	MI
Zip	:	48471-1244
Country	:	US
Telephone Number	:	810-648-5244
Fax Number	:

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	01/21/2015

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