Provider Demographics
NPI:1275136913
Name:HUNT, SHANIA
Entity Type:Individual
Prefix:
First Name:SHANIA
Middle Name:
Last Name:HUNT
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 1:2204 MURRAY ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-1986
Mailing Address - Country:US
Mailing Address - Phone:304-588-1496
Mailing Address - Fax:
Practice Address - Street 1:2204 MURRAY ST APT 3
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1986
Practice Address - Country:US
Practice Address - Phone:304-588-1496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant