Provider Demographics
NPI:1215389911
Name:HUNTER, KARALEE
Entity Type:Individual
Prefix:
First Name:KARALEE
Middle Name:
Last Name:HUNTER
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 1:105 EAST HAMILTON STREET
Mailing Address - Street 2:UPPER
Mailing Address - City:SACKETS HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:13685
Mailing Address - Country:US
Mailing Address - Phone:386-864-4119
Mailing Address - Fax:
Practice Address - Street 1:105 EAST HAMILTON STREET
Practice Address - Street 2:UPPER
Practice Address - City:SACKETS HARBOR
Practice Address - State:NY
Practice Address - Zip Code:13685
Practice Address - Country:US
Practice Address - Phone:386-864-4119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309732-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse