Provider Demographics
NPI:1194974634
Name:HUNTER, DONNA (ANP-BC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 S LANCASTER RD
Mailing Address - Street 2:111B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7167
Mailing Address - Country:US
Mailing Address - Phone:214-857-1605
Mailing Address - Fax:214-857-1571
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:111B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-1605
Practice Address - Fax:214-857-1571
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX515478363LA2200X, 163WA2000X, 163WG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology