Doctor Name: | MS. KATHLEEN HUNTHAUSEN |
NPI Number: | 1912987199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MS, NCSN, FNP |
License Number: | ARNP9240039 |
Business Practice Address: | 221 S State Road 434 Altamonte Springs, FL - 327143801 |
Business Phone Number: | 4078623013 |
Business Fax Number: | |
Mailing Address: | 2551 Sweetwater Country Club Dr, APOPKA |
State: | FL |
Postal Code: | 327122505 |
Phone Number: | 4078868664 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 02/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9240039 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |