Individual provider · Type 1 NPI

Sean P. Hackett, PA-C

Medical Physician Assistant · Fruitland, ID

NPI number 1881685642 Active

Practice location

1210 NW 16th St
Fruitland, ID 83619-2202

Call (208) 452-8600 Map

Fax (208) 452-8601

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-204 (ID)
Medical Physician Assistant 363AM0700XPA00575 (OR)

Medical Physician Assistant: Definition to come...

23 other providers at this address

Other medical physician assistant providers in Fruitland

See all in Fruitland →

About NPI 1881685642

Sean P. Hackett, PA-C's National Provider Identifier is 1881685642, issued on Nov 2, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fruitland, ID. The record was last updated on Mar 16, 2011.