Provider Demographics
NPI:1437656600
Name:HUNTER, ASHLEY (LVN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 EASTON MEADOWS DR APT 117
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-2058
Mailing Address - Country:US
Mailing Address - Phone:469-260-2585
Mailing Address - Fax:
Practice Address - Street 1:3510 EASTON MEADOWS DR APT 117
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2058
Practice Address - Country:US
Practice Address - Phone:469-260-2585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210313164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse