Doctor Name: | MS. EVELYN L HUNT |
NPI Number: | 1073644894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P.-C |
License Number: | 19587 |
Business Practice Address: | 3984 Indian Ave Perris, CA - 925713154 |
Business Phone Number: | 9514432544 |
Business Fax Number: | 6153840027 |
Mailing Address: | 22261 San Joaquin Dr W, CANYON LAKE |
State: | CA |
Postal Code: | 925877847 |
Phone Number: | 6159441869 |
Fax Number: | 9514432556 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |