Individual
ELIZABETH KELLER HACKENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 485-3066
(303) 485-3060
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0010136-NP
CO
Other
Enumeration date
07/03/2008
Last updated
06/04/2024
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