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Individual

SUSAN M HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 948-5450
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71001293A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000668027
ANTHEM PTAN
IN
01
000001322812
ANTHEM PTAN
IN
01
000001636630
ANTHEM PTAN
IN
05
200342170
IN
Enumeration date
07/26/2006
Last updated
02/11/2025
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