Individual
MRS. CYNTHIA L. HAACKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
20 W 1700 S, CLEARFIELD, UT 84016-6004
(801) 416-4474
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-6150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2043174405
UT
Other
Enumeration date
09/29/2005
Last updated
10/26/2015
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