Provider Demographics
NPI:1164280780
Name:A HUNTER, DOMINIQUE (NNP-BC)
Entity Type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:
Last Name:A HUNTER
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5314 SPRING DAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1862
Mailing Address - Country:US
Mailing Address - Phone:210-273-9146
Mailing Address - Fax:
Practice Address - Street 1:5314 SPRING DAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1862
Practice Address - Country:US
Practice Address - Phone:210-273-9146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX881599363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care