Basic Information
| Provider Information | |||||||||
| NPI: | 1942465471 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUNT | ||||||||
| FirstName: | CHRISTEN | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 6TH AVE S | ||||||||
| Address2: | DEPT 6580070302 | ||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337014634 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277674429 | ||||||||
| FaxNumber: | 7277678526 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 6TH AVE S | ||||||||
| Address2: | DEPT 6580070302 | ||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337014634 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277674429 | ||||||||
| FaxNumber: | 7277678526 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2008 | ||||||||
| LastUpdateDate: | 07/29/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 3005648 | KY | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LP0222X | ARNP9423194 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics, Critical Care |
ID Information
| ID | Type | State | Issuer | Description | 000052153L | 01 | KY | HUMANA-CMA | OTHER | 200987470 | 05 | IN | MEDICAID | 50028786 | 01 | KY | PASSPORT-CMA | OTHER | 016768600 | 05 | FL | MEDICAID | 7882279 | 01 | KY | CIGNA-CMA | OTHER | 114235 | 01 | KY | SIHO-CMA | OTHER | 000000661205 | 01 | KY | ANTHEM-CMA | OTHER | 7100117880 | 05 | KY | MEDICAID |