Individual
MARY HACKBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1816 PHILADELPHIA ST, AMES, IA 50010-8771
(515) 232-2500
(515) 246-4479
Mailing address
PO BOX 9170, DES MOINES, IA 50306-9170
(515) 633-3600
(515) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A078632
IA
Other
Enumeration date
09/01/2016
Last updated
04/27/2020
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