Provider Demographics
NPI:1730728940
Name:HACKETT, SAFFRON RUTH (RN, MSN, NM, FNP-C)
Entity type:Individual
Prefix:
First Name:SAFFRON
Middle Name:RUTH
Last Name:HACKETT
Suffix:
Gender:F
Credentials:RN, MSN, NM, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 SAN ANTONIO WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-2711
Mailing Address - Country:US
Mailing Address - Phone:858-245-1640
Mailing Address - Fax:
Practice Address - Street 1:1544 EUREKA RD STE 160
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3092
Practice Address - Country:US
Practice Address - Phone:916-772-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2021-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95013544363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily