Basic Information
| Provider Information | |||||||||
| NPI: | 1720335912 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUNTING | ||||||||
| FirstName: | RUTH | ||||||||
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| Credential: | RN, WCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 69075 KAREN CIR | ||||||||
| Address2: | |||||||||
| City: | ANCHOR POINT | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995569416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9072358894 | ||||||||
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| Practice Location | |||||||||
| Address1: | 250 HOSPITAL PL | ||||||||
| Address2: | |||||||||
| City: | SOLDOTNA | ||||||||
| State: | AK | ||||||||
| PostalCode: | 996697559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9077144404 | ||||||||
| FaxNumber: | 9077144696 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2012 | ||||||||
| LastUpdateDate: | 08/07/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WW0000X | NUR R 25269 | AK | Y | Nursing Service Providers | Registered Nurse | Wound Care |
No ID Information.