1629071477 NPI number — ALEXANDRA C. HUNT ARNP

Table of content: STACY LOWARY FNP-C (NPI 1093274524)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629071477 NPI number — ALEXANDRA C. HUNT ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUNT
Provider First Name:
ALEXANDRA
Provider Middle Name:
C.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ARNP
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:
1629071477
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2030 BENSON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POINT ROBERTS
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98281-9206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-945-2580
Provider Business Mailing Address Fax Number:
360-945-2980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2030 BENSON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POINT ROBERTS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98281-9206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-945-2580
Provider Business Practice Location Address Fax Number:
360-945-2980
Provider Enumeration Date:
05/24/2005

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: 363LF0000X , with the licence number:  030705-23-03 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: P00010860 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 11-3676484 . This is a "HCVM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 30011074 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2309970YPNH01 . This is a "ANTHEM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 2441 . This is a "CIGNA" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 113676484 . This is a "HCVM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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