Provider Demographics
NPI:1407589583
Name:HUNTER, SHARDAY L (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:SHARDAY
Middle Name:L
Last Name:HUNTER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 4TH AVE UNIT 4013
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-1001
Mailing Address - Country:US
Mailing Address - Phone:332-291-6033
Mailing Address - Fax:
Practice Address - Street 1:10776 PAGET CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89166-8101
Practice Address - Country:US
Practice Address - Phone:332-291-6033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV857780163W00000X, 163WH0200X
CA95258393163WC0400X
FLRN9557537163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health