Individual
ALYCE M. HUNTSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, NNP
Contact information
Practice address
2480 LIBERTY ST NE, SUITE 180, SALEM, OR 97301-8380
(503) 363-8047
(503) 363-6571
Mailing address
2480 LIBERTY STREET NE, SUITE 180, SALEM, OR 97301
(503) 363-8047
(503) 363-6571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850051NP
OR
363LN0000X
Neonatal Nurse Practitioner
081047091N9
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022927
—
OR
05
—
9644345
—
WA
Enumeration date
05/25/2007
Last updated
08/15/2011
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