Provider Demographics
NPI:1235340696
Name:HUNTER, PAT P (PA-C)
Entity Type:Individual
Prefix:
First Name:PAT
Middle Name:P
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W WOOD ST
Mailing Address - Street 2:STE 200
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3347
Mailing Address - Country:US
Mailing Address - Phone:610-270-2210
Mailing Address - Fax:510-270-2184
Practice Address - Street 1:15 W WOOD ST
Practice Address - Street 2:STE 200
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3347
Practice Address - Country:US
Practice Address - Phone:610-270-2210
Practice Address - Fax:510-270-2184
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA000425L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMA000425LOtherPA LICENSE