Provider Demographics
NPI:1285022723
Name:HUNTER, YOLANDA (FNP-C)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-2825
Mailing Address - Country:US
Mailing Address - Phone:304-534-8582
Mailing Address - Fax:304-534-8791
Practice Address - Street 1:201 ADAMS ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-2825
Practice Address - Country:US
Practice Address - Phone:304-534-8582
Practice Address - Fax:304-534-8791
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN77071363LP0808X
WVAPRN-77071363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty