Provider Demographics
NPI:1396181855
Name:GANIER, HUNTERLAND (RN)
Entity Type:Individual
Prefix:MS
First Name:HUNTERLAND
Middle Name:
Last Name:GANIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1265
Mailing Address - Street 2:208 E. BRIDGERS STREET
Mailing Address - City:BURGAW
Mailing Address - State:NC
Mailing Address - Zip Code:28425-1265
Mailing Address - Country:US
Mailing Address - Phone:910-520-7885
Mailing Address - Fax:
Practice Address - Street 1:1500 N. WESTWOOD BLVD
Practice Address - Street 2:JOHN J. PERSHING VAMC
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901
Practice Address - Country:US
Practice Address - Phone:573-778-4292
Practice Address - Fax:573-778-4299
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRN248216163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse