Individual
CHRISTA MARY HUNNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1208 L ST, AURORA, NE 68818-2016
(402) 694-6114
Mailing address
PO BOX 128, AURORA, NE 68818-0128
(402) 694-6114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1317
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6877
BLUE CROSS AND BLUE SHIELD
NE
Enumeration date
06/30/2009
Last updated
11/18/2010
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