National Provider Identifier
Kristin Mary Haacker
Kristin Mary Haacker is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 491-0374.
Profile Overview
- NPI
- 1255922753
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 28, 2021
- Last Updated
- January 28, 2021
Practice Location
- 120 Northgate RD
- Rochester, NY 14616-3048
Phone: (585) 491-0374
Specialties
- Licensed Practical Nurse (164W00000X)
Endpoints
- Khaacker
Connect Url | Rochester, NY 14616
Full Record
- NPI
- 1255922753
- Entity Type
- Individual
- Last Name
- Haacker
- First Name
- Kristin
- Middle Name
- Mary
- Name Prefix
- Mrs.
- Mailing Street Address
- 120 Northgate RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-3048
- Mailing Country
- US
- Mailing Phone
- (585) 491-0374
- Practice Street Address
- 120 Northgate RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-3048
- Practice Country
- US
- Practice Phone
- (585) 491-0374
- Enumeration Date
- January 28, 2021
- Last Updated
- January 28, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 309450 (NY, State Nursing License)