Most Relevant Information
Provider Data
| NPI Number: | 1003803792 |
| Provider Name: | CYNTHIA L. HAACKE FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2043174405 |
Most Important Dates
| Enumeration Date: | 09/29/2005 |
| Last Updated: | 10/26/2015 |
Provider Practice Location
20 W 1700 S
CLEARFIELD
UT
840166004
Practice Location Phone/Fax
| Phone: | 8014164474 |
| Fax: |
Provider Mailing Location
PO BOX 27128
SALT LAKE CITY
UT
841270128
Provider Mailing Phone/Fax
| Phone: | 8013876150 |
| Fax: |