Hazen, Nancy

Hazen, Nancy is an sole proprietor health care provider with primary practice located at 308 Rio Lucero Rd , El Prado NM 87529-9507. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Hazen, Nancy can be contacted via phone (505) 758-1494.

Contact Information

Primary practice address
308 Rio Lucero Rd El Prado NM 87529-9507
Phone: (505) 758-1494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0414 New Mexico

Profile Details

NPI number 1952310435
LBN Legal business name Hazen, Nancy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jul 9th, 2007 - about 18 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 1952310435 NPPES
New Mexico MEDICAID G7297
New Mexico Other 00JD84
New Mexico Other NM102165

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