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Contact Information

TIMOTHY E HAZARD, FNP
629 SOLVANG WAY
DENMARK, WI54208
 Phone: 920-863-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TIMOTHY E HAZARD · (Male)

NPI Number 1003199720
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/20/2011
Last updated 07/25/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 6952
  • WI Medicaid 1003199720
  • IL Other 363F0000X TAXONOMY#
Hospital affiliation(s)
  • AURORA BAYCARE MED CTR - (Acute Care)
    2845 GREENBRIER RD
    GREEN BAY, WI 54311
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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