Hazel, Diane Elizabeth

Hazel, Diane Elizabeth is an individual health care provider with primary practice located at 500 Merrimack St , Lawrence MA 01843-1981. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Hazel, Diane Elizabeth can be contacted via phone (978) 557-8880.

Contact Information

Primary practice address
500 Merrimack St Lawrence MA 01843-1981
Phone: (978) 557-8880
Fax: (978) 557-8811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN2284166 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2284166 Massachusetts

Profile Details

NPI number 1841614104
LBN Legal business name Hazel, Diane Elizabeth
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2014
Last updated Jun 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841614104 NPPES
Massachusetts Other RN2284166 MASSACHUSETTS BOARD OF REGISTRATION IN NURSING

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