Provider Demographics
NPI:1760401897
Name:HUNSINGER, ANDREW J (CRNA)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:HUNSINGER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:ANDY
Other - Middle Name:J
Other - Last Name:HUNSINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-0688
Mailing Address - Country:US
Mailing Address - Phone:816-461-8288
Mailing Address - Fax:816-461-6586
Practice Address - Street 1:404 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-1257
Practice Address - Country:US
Practice Address - Phone:641-628-6634
Practice Address - Fax:641-621-2458
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC054429367500000X
IAD107495367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA175380001Medicare PIN
IAP00705126Medicare PIN