Provider Demographics
NPI:1508627290
Name:HUNT, PETER R (NP-C)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:R
Last Name:HUNT
Suffix:
Gender:
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 1:3885 UPHAM ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4800
Mailing Address - Country:US
Mailing Address - Phone:970-593-9944
Mailing Address - Fax:303-742-9995
Practice Address - Street 1:3885 UPHAM ST STE 100
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4800
Practice Address - Country:US
Practice Address - Phone:303-742-0086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1625429163W00000X
COAPN.1000561-NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse