Individual
HEATHER HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1024 CENTRAL PARK DR, STEAMBOAT SPRINGS, CO 80487-8813
(970) 870-1086
Mailing address
34780 COUNTRY GREEN RD, STEAMBOAT SPRINGS, CO 80487-9300
(720) 985-3721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
169161
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95820736
—
CO
Enumeration date
12/18/2006
Last updated
02/11/2016
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