Individual
COURTNEY NICOLE HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL EMERGENCY, ANN ARBOR, MI 48109-5020
(734) 936-5900
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1628095
CO
363L00000X
Nurse Practitioner
Primary
4704285956
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704285956
MI
Other
Enumeration date
08/20/2014
Last updated
12/13/2018
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