Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 2016019745 | MO |
NPI | 1033560933 |
---|---|
Provider Name | Mrs. Allison Elaine Hunt |
First Address | Saint Louis, MO 63132-4929 |
Second Address | Chesterfield, MO 63017-4979 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2016 |
Last Update Date | 22/06/2016 |