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ANDREA HAZELTON FNP-C
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1720614597
Individual Registrant:
ANDREA HAZELTON FNP-C
Gender: F
Not Sole Proprietor
Location and contact information for practice:
100 PIONEERS MEDICAL CENTER DR MEEKER, CO 81641-3181 US
Tel: 970-878-4014 Fax: --
Contact information for business:
PO BOX 1953 RIFLE, CO 81650-1953 US
Tel: 413-281-2507 Fax: --
Registration Information:
NPI: 1720614597
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 163W00000X | Nursing Service Providers Registered Nurse
| CO | 0200549 |
Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CO | APN.0995969-NP |
Legacy codes, insurance codes and state license numbers:
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