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Contact Information

HAZEL HEALTHCARE LLC
2584 N STOKESBERRY PL
MERIDIAN, ID83646-1144
 Phone: 208-412-6905
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HAZEL HEALTHCARE LLC · (Female)

NPI Number 1679355036
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2023
Last updated 01/19/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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