| NPI | 1821566316 |
|---|---|
| Former Name | KIERSTEN HACKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201809918NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201809918NP-PP) |
| 363L00000X Nurse Practitioner (Licence: OR 201809918NP-PP) | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2025-04-02 |