Provider Demographics
NPI:1144227075
Name:HUNSUCKER, SHARON C (ARNP)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:C
Last Name:HUNSUCKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:644 MAYSVILLE RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-9464
Mailing Address - Country:US
Mailing Address - Phone:859-498-6006
Mailing Address - Fax:859-498-8006
Practice Address - Street 1:644 MAYSVILLE RD
Practice Address - Street 2:SUITE 8
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-9464
Practice Address - Country:US
Practice Address - Phone:859-498-6006
Practice Address - Fax:859-498-8006
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3420P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78004967Medicaid
KYP08838Medicare UPIN