Provider Demographics
NPI:1851560973
Name:HUNTER, BRENDA YVETTE
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:YVETTE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 41ST ST
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53144-1839
Mailing Address - Country:US
Mailing Address - Phone:262-656-1934
Mailing Address - Fax:262-656-1939
Practice Address - Street 1:5500 41ST ST
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53144-1839
Practice Address - Country:US
Practice Address - Phone:262-656-1934
Practice Address - Fax:262-656-1939
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide