1154480358 NPI number — ANNA BURDETTE HUNT RVT

Table of content: ANNA BURDETTE HUNT RVT (NPI 1154480358)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154480358 NPI number — ANNA BURDETTE HUNT RVT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUNT
Provider First Name:
ANNA
Provider Middle Name:
BURDETTE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RVT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154480358
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
743 HORIZON CT
Provider Second Line Business Mailing Address:
STE 105
Provider Business Mailing Address City Name:
GRAND JUNCTION
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-263-9483
Provider Business Mailing Address Fax Number:
970-263-9484

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
743 HORIZON CT
Provider Second Line Business Practice Location Address:
STE 105
Provider Business Practice Location Address City Name:
GRAND JUNCTION
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-263-9483
Provider Business Practice Location Address Fax Number:
970-263-9484
Provider Enumeration Date:
12/06/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)