MS. KATHLEEN JUDITH CARROLL-HACK PNP NPI 1679660294

NPI Information

NPI: 1679660294
Provider Name: MS. KATHLEEN JUDITH CARROLL-HACK, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
7275 E SOUTHGATE DR
SUITE 306
SACRAMENTO, CA
ZIP 95823
Phone: (916) 422-6635
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MS. Kathleen Judith Carroll-hack, PNP is a pediatrics nurse practitioner in Sacramento, CA. MS. Kathleen Judith Carroll-hack, PNP NPI is 1679660294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7275 E SOUTHGATE DR
SUITE 306
SACRAMENTO, CA
ZIP 95823-628
Phone: (916) 422-6635
Fax: (916) 422-2741

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	13696	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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