Provider Demographics
NPI:1467722843
Name:HUNT-TRESTON, MAUREEN (RN)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:
Last Name:HUNT-TRESTON
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 1:785 CANDLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-6615
Mailing Address - Country:US
Mailing Address - Phone:631-434-2349
Mailing Address - Fax:631-434-2560
Practice Address - Street 1:785 CANDLEWOOD RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-6615
Practice Address - Country:US
Practice Address - Phone:631-434-2349
Practice Address - Fax:631-434-2560
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY352067163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse