Provider Demographics
NPI:1487455010
Name:WHITTAKER, HUNTER
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:
Last Name:WHITTAKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 SAINT JOE RD
Mailing Address - Street 2:
Mailing Address - City:ALBRIGHT
Mailing Address - State:WV
Mailing Address - Zip Code:26519-8216
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2302 SAINT JOE RD
Practice Address - Street 2:
Practice Address - City:ALBRIGHT
Practice Address - State:WV
Practice Address - Zip Code:26519-8216
Practice Address - Country:US
Practice Address - Phone:724-802-3618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide