Kristine Hackett, WHNP

NPI 1770579328 · on the registry since 2005

Practice

Address: 90 Hope Dr
366th Mdg/Surgical Operations Squadron
Mountain Home Afb, ID 83648
Phone: (208) 828-7534
Organisation at this address: Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 90

Registry record

Primary taxonomy: 363LW0102X
363LW0102X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-06-23

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