Provider Demographics
NPI:1306631692
Name:HUNTER, LIBERTY ANNE (ND)
Entity type:Individual
Prefix:DR
First Name:LIBERTY
Middle Name:ANNE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16297A WATSON RD
Mailing Address - Street 2:
Mailing Address - City:GUERNEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95446-8935
Mailing Address - Country:US
Mailing Address - Phone:707-502-7223
Mailing Address - Fax:
Practice Address - Street 1:432 AVIATION BLVD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-1069
Practice Address - Country:US
Practice Address - Phone:707-708-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath