Provider Demographics
NPI:1184941106
Name:HUNT, BEATRICE DENISE (RN)
Entity type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:DENISE
Last Name:HUNT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 GREEN PINE CIR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-2567
Mailing Address - Country:US
Mailing Address - Phone:904-469-5467
Mailing Address - Fax:
Practice Address - Street 1:1110 GREEN PINE CIR
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-2567
Practice Address - Country:US
Practice Address - Phone:904-469-5467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3150582163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse