Individual
MRS. LISA ANN HACKER
Active
Individual
MRS. LISA ANN HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP16396
CA
363LF0000X
Family Nurse Practitioner
9318004
FL
363LF0000X
Family Nurse Practitioner
Primary
RN1005286
DC
363LF0000X
Family Nurse Practitioner
SP012851
PA
Other
Enumeration date
07/18/2006
Last updated
03/17/2025
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