Hazel, Ellen Marie
Hazel, Ellen Marie is an individual health care provider with primary practice located at 1055 37Th Pl , Vero Beach FL 32960-6551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hazel, Ellen Marie can be contacted via phone (772) 257-8700.Contact Information
Primary practice address
1055 37Th Pl
Vero Beach FL 32960-6551
Phone: (772) 257-8700
Fax: (772) 257-8715
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 144650 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ARNP 9363178 | Florida |
Profile Details
NPI number | 1619164480 |
---|---|
LBN Legal business name | Hazel, Ellen Marie |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2007 |
Last updated | Apr 11th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619164480 | NPPES |
North Carolina | MEDICAID | 8050945 |
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