Provider Demographics
NPI:1245346519
Name:HUNTER, DEBRA E (APRN)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:E
Last Name:HUNTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:E
Other - Last Name:LETCHER-HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:12275 104TH ST
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-1924
Mailing Address - Country:US
Mailing Address - Phone:727-309-0618
Mailing Address - Fax:
Practice Address - Street 1:1301 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2298
Practice Address - Country:US
Practice Address - Phone:727-584-7706
Practice Address - Fax:727-501-7332
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1746032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY08SROtherFLORIDA BLUE
FLE3266YOtherBLUE CROSS/BLUE SHIELD
FL302847000Medicaid
FLE3266YOtherBLUE CROSS/BLUE SHIELD
FLS92998Medicare UPIN
FLE3266YMedicare PIN
FLE3266WMedicare PIN
500011561Medicare PIN