Individual
MICHELLE K HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3901 AVE B, SCOTTSBLUFF, NE 69361
(308) 632-2215
(308) 632-7921
Mailing address
3901 AVE B, SCOTTSBLUFF, NE 69361
(308) 632-2215
(308) 632-7921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1071
NE
363A00000X
Physician Assistant
Primary
475
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1071
STATE LICENSE
NE
01
—
283821A
RURAL HEALTH
—
01
—
P00163932
MEDICARE RAILROAD
—
Enumeration date
08/01/2006
Last updated
01/06/2011
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