Provider Demographics
NPI:1174349484
Name:HUNTER, ARTIS JR
Entity type:Individual
Prefix:
First Name:ARTIS
Middle Name:
Last Name:HUNTER
Suffix:JR
Gender:U
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 246232
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-6232
Mailing Address - Country:US
Mailing Address - Phone:916-519-7110
Mailing Address - Fax:
Practice Address - Street 1:3810 BROADWAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-3302
Practice Address - Country:US
Practice Address - Phone:800-707-3358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No374J00000XNursing Service Related ProvidersDoula