| Desirae Hack, RN | |
|
5722 13th Ave S, Gulfport, FL 33707-3415 | |
| (810) 845-7820 | |
| Not Available |
| Full Name | Desirae Hack |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Critical Care Medicine |
| Location | 5722 13th Ave S, Gulfport, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437087475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN9405093 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Desirae Hack, RN 5722 13th Ave S, Gulfport, FL 33707-3415 Ph: (810) 845-7820 | Desirae Hack, RN 5722 13th Ave S, Gulfport, FL 33707-3415 Ph: (810) 845-7820 |
Ms. Mary Elizabeth Grant, A.R.N.P. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1120 63rd St S, Gulfport, FL 33707 Phone: 727-347-2914 Fax: 727-895-7225 | |
Mrs. Bolivia Earline Wynn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5016 14th Ave S, Gulfport, FL 33707 Phone: 727-748-3367 | |
Jocelyn Pridemore, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5817 15th Ave S, Gulfport, FL 33707 Phone: 727-214-4712 |