Individual provider · Type 1 NPI
Michael Hacking
Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT
NPI number
1841764529
Active
Practice location
4460 S Highland Dr
Salt Lake City, UT 84124-3543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 5804920-3102 (UT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5804920-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1841764529
Michael Hacking's National Provider Identifier is 1841764529, issued on Jan 16, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 20, 2020.