Provider Demographics
NPI:1720354384
Name:TROY HUNTER APRN PLLC
Entity Type:Organization
Organization Name:TROY HUNTER APRN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:DARREN
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, NP-C, APRN
Authorized Official - Phone:801-643-6385
Mailing Address - Street 1:3874 E LITTLE COTTONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-6001
Mailing Address - Country:US
Mailing Address - Phone:801-643-6385
Mailing Address - Fax:888-503-0041
Practice Address - Street 1:3874 E LITTLE COTTONWOOD LN
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84092-6001
Practice Address - Country:US
Practice Address - Phone:801-643-6385
Practice Address - Fax:888-503-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT368786-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty