Provider Demographics
NPI:1700041787
Name:HUNTER, COURTNEY A (ARNP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:A
Last Name:HUNTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1373
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-1373
Mailing Address - Country:US
Mailing Address - Phone:509-946-6851
Mailing Address - Fax:509-946-4418
Practice Address - Street 1:1305 MANSFIELD ST STE 4
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3588
Practice Address - Country:US
Practice Address - Phone:509-946-6851
Practice Address - Fax:866-898-6962
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60028527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA966483Medicaid