Provider Demographics
NPI:1013580455
Name:HUNTE, CHARDINE'E
Entity Type:Individual
Prefix:
First Name:CHARDINE'E
Middle Name:
Last Name:HUNTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 JOSEPH AVE APT 19
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-1902
Mailing Address - Country:US
Mailing Address - Phone:585-471-4667
Mailing Address - Fax:
Practice Address - Street 1:279 JOSEPH AVE APT 19
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1902
Practice Address - Country:US
Practice Address - Phone:585-471-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341720164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse