Provider Demographics
NPI:1750620886
Name:HUNTER, AVION NELSON (COSMETOLOGIST)
Entity type:Individual
Prefix:MRS
First Name:AVION
Middle Name:NELSON
Last Name:HUNTER
Suffix:
Gender:F
Credentials:COSMETOLOGIST
Other - Prefix:
Other - First Name:AVION
Other - Middle Name:
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:904 HADEL PL
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7510
Mailing Address - Country:US
Mailing Address - Phone:919-833-2447
Mailing Address - Fax:919-765-4349
Practice Address - Street 1:918 ROCK QUARRY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-3959
Practice Address - Country:US
Practice Address - Phone:919-833-2447
Practice Address - Fax:919-765-4349
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
C377631744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management