Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Haacke

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1679719215

Kristen Haacke is a Critical Care Neonatal Nurse Practitioner in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2009.

Licensed in
UT
In the registry since
2009
Specialties on file
2

Practice location Address checks out

100 N Medical Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence 364477-4405 (UT)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence 364477-4408 (UT)

Record details

NPI number1679719215
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2009
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

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