Provider Demographics
NPI:1114228418
Name:HUNT, LYNNE A (RNP)
Entity Type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:A
Last Name:HUNT
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 PASEO VIS
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6524
Mailing Address - Country:US
Mailing Address - Phone:949-291-5010
Mailing Address - Fax:949-485-2050
Practice Address - Street 1:1401 N EL CAMINO REAL
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-4985
Practice Address - Country:US
Practice Address - Phone:949-291-5010
Practice Address - Fax:949-485-2050
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA388249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily