Individual
HOLLY C HACKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1611 W 2450 N, VERNAL, UT 84078-9651
(435) 790-3347
Mailing address
1611 W 2450 N, VERNAL, UT 84078-9651
(435) 790-3347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
327253-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
327253-4405
UT
Other
Enumeration date
05/10/2021
Last updated
02/02/2022
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