Provider Demographics
NPI:1730923475
Name:HUNT, AMANDA E (WHNP-BC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:E
Last Name:HUNT
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MILTON LN
Mailing Address - Street 2:PO BOX 104
Mailing Address - City:WARREN CENTER
Mailing Address - State:PA
Mailing Address - Zip Code:18851
Mailing Address - Country:US
Mailing Address - Phone:607-759-3353
Mailing Address - Fax:
Practice Address - Street 1:3101 SHIPPERS RD
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-2080
Practice Address - Country:US
Practice Address - Phone:607-584-4540
Practice Address - Fax:607-584-4481
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY733139163W00000X
NY421772363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse