Provider Demographics
NPI:1073644894
Name:HUNT, EVELYN L (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:L
Last Name:HUNT
Suffix:
Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:22261 SAN JOAQUIN DR W
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-7847
Mailing Address - Country:US
Mailing Address - Phone:615-944-1869
Mailing Address - Fax:951-443-2556
Practice Address - Street 1:3984 INDIAN AVE
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-3154
Practice Address - Country:US
Practice Address - Phone:951-443-2544
Practice Address - Fax:615-384-0027
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2014-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA19587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q40826Medicare UPIN