MRS. Kim Teresa Hackbarth, C.P.N.P.

NPI #1205108164 in Fitchburg, Wisconsin

Provider Information

NPI Number: 1205108164
Entity Type: Individual
Name: MRS. Kim Teresa Hackbarth, C.P.N.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: C.P.N.P.
Enumeration Date: Feb 7, 2012
Last Updated: Feb 7, 2012

Practice Location

Address: 3051 CAHILL MAIN
City: Fitchburg
State: Wisconsin
ZIP Code: 53711-7109
Phone: (608) 257-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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