Provider Demographics
NPI:1497750301
Name:HUNTER, LAURA HOLMES (APRN)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:HOLMES
Last Name:HUNTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 WHITEFISH STAGE
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2735
Mailing Address - Country:US
Mailing Address - Phone:406-471-8139
Mailing Address - Fax:888-701-1124
Practice Address - Street 1:1077 WHITEFISH STAGE
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2735
Practice Address - Country:US
Practice Address - Phone:406-471-8139
Practice Address - Fax:888-701-1124
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT100831363LF0000X, 363L00000X
NC200824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
S66500Medicare UPIN
2594323CMedicare ID - Type Unspecified