KRISTEN HAACKE NPI 1679719215

NPI Information

NPI: 1679719215
Provider Name: KRISTEN HAACKE
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

Address:
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 662-4100
Get Directions

Kristen Haacke is a neonatal and critical care nurse practitioner in Salt Lake City, UT. Kristen Haacke NPI is 1679719215. 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:

100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-4100

The enumeration date for this NPI number is 1/4/2009 and was last updated on 9/8/2021.

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	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	364477-4408	UTAH	No
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	364477-4405	UTAH	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: 11/14/2023

NPI Synchronization or Removal

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