Provider Demographics
NPI:1366781460
Name:HUNT, LEIA (CRNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:LEIA
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:CRNP, FNP-BC
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 2697
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35056-2697
Mailing Address - Country:US
Mailing Address - Phone:256-737-7546
Mailing Address - Fax:
Practice Address - Street 1:1300 BRIDGE CREEK DR. NE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055
Practice Address - Country:US
Practice Address - Phone:256-737-7546
Practice Address - Fax:256-841-6180
Is Sole Proprietor?:No
Enumeration Date:2013-02-08
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-115085363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily