Basic Information
| Provider Information | |||||||||
| NPI: | 1760786362 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUNT | ||||||||
| FirstName: | MICHAEL | ||||||||
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| Credential: | CRNA, FNP, APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1161 S 1950 W | ||||||||
| Address2: | |||||||||
| City: | DELTA | ||||||||
| State: | UT | ||||||||
| PostalCode: | 846247970 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2085252090 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1161 S 1950 W | ||||||||
| Address2: | |||||||||
| City: | DELTA | ||||||||
| State: | UT | ||||||||
| PostalCode: | 846247970 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2085252090 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/23/2010 | ||||||||
| LastUpdateDate: | 01/25/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 86290 | CT | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 363LF0000X | 351197-4405 | UT | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.