Provider Demographics
NPI:1740211358
Name:HUNTER, SCOTT CAMERON (CRNA)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:CAMERON
Last Name:HUNTER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12305 HARDEE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-9223
Mailing Address - Country:US
Mailing Address - Phone:919-844-9950
Mailing Address - Fax:
Practice Address - Street 1:12305 HARDEE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-9223
Practice Address - Country:US
Practice Address - Phone:919-844-9950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2014-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC155734367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered