Provider Demographics
NPI:1235954165
Name:HUNT, SADIE ELAINE
Entity type:Individual
Prefix:MRS
First Name:SADIE
Middle Name:ELAINE
Last Name:HUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 TANAGER CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-1452
Mailing Address - Country:US
Mailing Address - Phone:586-496-0012
Mailing Address - Fax:
Practice Address - Street 1:936 TANAGER CT
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-1452
Practice Address - Country:US
Practice Address - Phone:586-496-0012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-16
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider