Provider Demographics
NPI:1952434862
Name:HUNT, MEREDITH ANN (MSN,RNC,NP)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:ANN
Last Name:HUNT
Suffix:
Gender:F
Credentials:MSN,RNC,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 GABRIEL DR
Mailing Address - Street 2:PO BOX 587
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04332-0587
Mailing Address - Country:US
Mailing Address - Phone:207-622-7524
Mailing Address - Fax:207-622-0836
Practice Address - Street 1:43 GABRIEL DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-7852
Practice Address - Country:US
Practice Address - Phone:207-622-7524
Practice Address - Fax:207-622-0836
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME042778363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME103700004Medicaid
ME103700004Medicaid