Provider Demographics
NPI:1467609800
Name:HUNTER, CHRISTY SHORT (CRNP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:SHORT
Last Name:HUNTER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 STONE AVE
Mailing Address - Street 2:
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35160-2217
Mailing Address - Country:US
Mailing Address - Phone:256-761-4458
Mailing Address - Fax:256-761-4391
Practice Address - Street 1:604 STONE AVE
Practice Address - Street 2:
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2217
Practice Address - Country:US
Practice Address - Phone:256-761-4458
Practice Address - Fax:256-761-4391
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL740166164W00000X
AL1-061710363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse