Provider Demographics
NPI:1841224706
Name:HUNT, NANCY K (NP-C)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:K
Last Name:HUNT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2071 RIVERVIEW ST
Mailing Address - Street 2:
Mailing Address - City:UBLY
Mailing Address - State:MI
Mailing Address - Zip Code:48475-9786
Mailing Address - Country:US
Mailing Address - Phone:989-658-8157
Mailing Address - Fax:
Practice Address - Street 1:51 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48471-1244
Practice Address - Country:US
Practice Address - Phone:810-648-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704103070363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4271244Medicaid
MIG66002039Medicare PIN
MIP07155Medicare UPIN