Provider Demographics
NPI:1306287552
Name:HUNTER, ALI (FNP-C)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3755
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68103-0755
Mailing Address - Country:US
Mailing Address - Phone:402-354-2100
Mailing Address - Fax:402-354-2155
Practice Address - Street 1:8111 DODGE ST STE 220
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4117
Practice Address - Country:US
Practice Address - Phone:402-354-1320
Practice Address - Fax:402-354-5965
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111368363L00000X, 363LF0000X
ID12244A363LF0000X
TX2474363LF0000X
NC3211213W363LF0000X
OR201390420NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1306287552Medicaid
NE10025724800Medicaid
NE47068731707Medicaid
NE47068731707Medicaid