Basic Information
| Provider Information | |||||||||
| NPI: | 1942840020 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUNTER | ||||||||
| FirstName: | AUDREY | ||||||||
| MiddleName: | |||||||||
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| Credential: | RN NC-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7 VILLAGE WAY | ||||||||
| Address2: | |||||||||
| City: | RUTLAND | ||||||||
| State: | MA | ||||||||
| PostalCode: | 015431551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087690095 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 175 CONNORS ST | ||||||||
| Address2: | |||||||||
| City: | GARDNER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014402637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9788788100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/07/2020 | ||||||||
| LastUpdateDate: | 01/07/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 141622 | MA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.