Provider Demographics
NPI:1992094676
Name:HUNTER, DAWN L
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:L
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 1:32 DICKINSON ST
Mailing Address - Street 2:1L
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-1244
Mailing Address - Country:US
Mailing Address - Phone:413-455-0825
Mailing Address - Fax:413-455-0335
Practice Address - Street 1:32 DICKINSON ST
Practice Address - Street 2:1L
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-1244
Practice Address - Country:US
Practice Address - Phone:413-455-0825
Practice Address - Fax:413-455-0335
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide