Individual
MRS. CHRISTY HACKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
91-1010 SHANGRILA ST, KAPOLEI, HI 96707-2161
(808) 433-5416
Mailing address
91-1010 SHANGRILA ST, KAPOLEI, HI 96707-2161
(808) 433-5416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP138460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP138460
TEXAS BOARD OF NURSING
TX
Enumeration date
08/29/2018
Last updated
10/12/2023
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