HAZEL HEALTHCARE LLC; NPI #1679355036

Contact Information

HAZEL HEALTHCARE LLC

2584 N STOKESBERRY PL
MERIDIAN, ID 83646-1144

Phone: 208-412-6905
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for HAZEL HEALTHCARE LLC

NPI Number	`1679355036`
LBN Legal business name	HAZEL HEALTHCARE LLC
Authorized official	LAURA CARTER - (OWNER, CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/19/2023
Last updated	01/19/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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