Provider Demographics
NPI:1457339830
Name:HUNT, RUTH (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNA
Mailing Address - Street 1:1002 SE 16TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990
Mailing Address - Country:US
Mailing Address - Phone:239-246-0218
Mailing Address - Fax:239-278-0246
Practice Address - Street 1:7152 COCO SABAL LANE
Practice Address - Street 2:GULF COAST ENDOSCOPY CENTER SOUTH
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908
Practice Address - Country:US
Practice Address - Phone:239-985-0215
Practice Address - Fax:239-985-0211
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1774272367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL303213200Medicaid
FL303213200Medicaid