Provider Demographics
NPI:1215521448
Name:HUNTER, SUSAN FRANCINE
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:FRANCINE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 BROCKTON DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44511-1004
Mailing Address - Country:US
Mailing Address - Phone:330-717-2789
Mailing Address - Fax:
Practice Address - Street 1:1810 BROCKTON DR
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44511-1004
Practice Address - Country:US
Practice Address - Phone:330-717-2789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-28
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker