Amber Hackenberg, PA-C

NPI 1326357070 · on the registry since 2010

Practice

Address: 323 E Riverside Drive
Ste 224
Eagle, ID 83616
Phone: (208) 302-6000
Fax: (208) 302-6055
Organisation at this address: Mednow Inc
Cep America, Llc
Emp Idaho Nampa, Llc
Michael D Lahey Md Llc
Eagle Dermatology, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
Licence states on file: OR, ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho