Individual
DEBORAH K HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 457-6622
Mailing address
13456 VIA VARRA RD, #432, BROOMFIELD, CO 80020
(720) 379-8554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62160
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003392
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/15/2007
Last updated
07/08/2007
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