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Contact Information

SANDRA L HAZELWOOD, APRN
1 AUDUBON PLAZA DR
LOUISVILLE, KY40217
 Phone: 502-777-9961
 Fax: 502-379-8791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SANDRA L HAZELWOOD · (Female)

NPI # 1285915256
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 09/06/2011
Last updated 05/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71004745A
  • KY License # 3007116
  • IN Medicaid 201090670
  • KY Medicaid 7100194850
Hospital affiliation(s) Not Available
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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