Provider Demographics
NPI:1417629932
Name:HUNTER, DANIEL REESE (RN)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:REESE
Last Name:HUNTER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2737 KILLDEER CT
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53527
Mailing Address - Country:US
Mailing Address - Phone:608-393-6950
Mailing Address - Fax:
Practice Address - Street 1:2737 KILLDEER CT
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:WI
Practice Address - Zip Code:53527
Practice Address - Country:US
Practice Address - Phone:608-393-6950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-03
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163732163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse