Provider Demographics
NPI:1124815154
Name:HUNTER, IRETA (RN AND DOULA)
Entity type:Individual
Prefix:
First Name:IRETA
Middle Name:
Last Name:HUNTER
Suffix:
Gender:
Credentials:RN AND DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1681 ROUTE 300
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1762
Mailing Address - Country:US
Mailing Address - Phone:704-975-2412
Mailing Address - Fax:
Practice Address - Street 1:1681 ROUTE 300
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1762
Practice Address - Country:US
Practice Address - Phone:704-975-2412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula