Individual
CAROLYN K HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
175 S UNION BLVD, SUITE # 350, COLORADO SPRINGS, CO 80910-3113
(719) 633-5515
(719) 471-2258
Mailing address
175 S UNION BLVD, SUITE # 350, COLORADO SPRINGS, CO 80910-3113
(719) 633-5515
(719) 471-2258
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
56351
CO
Other
Enumeration date
05/23/2005
Last updated
08/06/2008
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