Provider Demographics
NPI:1053967109
Name:HUNT ENTERPRISES LLC
Entity type:Organization
Organization Name:HUNT ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BREANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PFLANZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-502-9868
Mailing Address - Street 1:9829 S 168TH AVE STE F
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1147
Mailing Address - Country:US
Mailing Address - Phone:402-502-9868
Mailing Address - Fax:402-502-9832
Practice Address - Street 1:9829 S 168TH AVE STE F
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-1147
Practice Address - Country:US
Practice Address - Phone:402-502-9868
Practice Address - Fax:402-502-9832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty