Provider Demographics
NPI:1285612044
Name:HUNSAKER, MONTY R (NP)
Entity type:Individual
Prefix:MR
First Name:MONTY
Middle Name:R
Last Name:HUNSAKER
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Gender:M
Credentials:NP
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Mailing Address - Street 1:3375 N CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2306
Mailing Address - Country:US
Mailing Address - Phone:520-838-2105
Mailing Address - Fax:520-838-2260
Practice Address - Street 1:445 N SILVERBELL RD
Practice Address - Street 2:STE 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2685
Practice Address - Country:US
Practice Address - Phone:520-624-8735
Practice Address - Fax:520-625-0053
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2021-08-12
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Provider Licenses
StateLicense IDTaxonomies
AZRN.055937363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ512922Medicaid
AZZ62162Medicare PIN
S82347Medicare UPIN