Provider Demographics
NPI:1609998038
Name:HACKEL, CRISTIN (RN, NP)
Entity Type:Individual
Prefix:MS
First Name:CRISTIN
Middle Name:
Last Name:HACKEL
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:MS
Other - First Name:CRISTIN
Other - Middle Name:
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP
Mailing Address - Street 1:548 MARKET ST STE 94061
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5401
Mailing Address - Country:US
Mailing Address - Phone:800-321-6879
Mailing Address - Fax:
Practice Address - Street 1:548 MARKET ST STE 94061
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5401
Practice Address - Country:US
Practice Address - Phone:800-321-6879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 15604363LW0102X
MDACOO3141363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health