Provider Demographics
NPI:1811531783
Name:HUNT, ANNA (RN, BSN, CDP, CADDCT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:RN, BSN, CDP, CADDCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9293 W 32ND ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:MI
Mailing Address - Zip Code:49412-8004
Mailing Address - Country:US
Mailing Address - Phone:231-750-6997
Mailing Address - Fax:
Practice Address - Street 1:3088 S VAN WAGONER AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:MI
Practice Address - Zip Code:49412-8520
Practice Address - Country:US
Practice Address - Phone:231-307-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704163307163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice