Provider Demographics
NPI:1932917416
Name:HUNTER, MARLIESE
Entity type:Individual
Prefix:
First Name:MARLIESE
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1067 CARRINGTON PL
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-2516
Mailing Address - Country:US
Mailing Address - Phone:614-364-5615
Mailing Address - Fax:
Practice Address - Street 1:1067 CARRINGTON PL
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-2516
Practice Address - Country:US
Practice Address - Phone:614-364-5615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator