Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMBER ANN HACKENBERG, PA-C
ActiveAMBER ANN HACKENBERG, PA-C is a Physician Assistant healthcare provider located in EAGLE, Idaho. NPI 1326357070 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EAGLE, ID
Registration Details
- NPI Number
- 1326357070
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2010 (15.831250701235 yrs)
- Last Updated
- Feb 15, 2018
- Licenses
-
PA152970 (OR)PA-948 (ID)
Practice Information
- Address
-
323 E RIVERSIDE DRIVESTE 224EAGLE, ID, 83616Browse ID providers · Browse ZIP 83616
- Phone
- 2083026000
- Fax
- 2083026055
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| JOHN DAVID MCDERMOTT | P.A. | 1689627069 |
| JEFFERY L JOHNSON | PA | 1609887801 |
| MARLO PICHARDO | PAC | 1699842021 |
| KELLEE J CROCKETT | PA-C | 1952441305 |
| CARLY D HAMMER | PA-C | 1588840409 |
| MRS. ERIN M RENAK | PA-C, MPAP | 1588826846 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.