Nurse, Hazel Ann

Nurse, Hazel Ann is an individual health care provider with primary practice located at 1 Cooper Plz , Camden NJ 08103-1461. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Nurse, Hazel Ann can be contacted via phone (856) 342-3150.

Contact Information

Primary practice address
1 Cooper Plz Camden NJ 08103-1461
Fax: (856) 968-8418
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X MD425064 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD425064 Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 25MA04668200 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04668200 New Jersey

Profile Details

NPI number 1619190089
LBN Legal business name Nurse, Hazel Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Dec 18th, 2018 - about 6 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 1619190089 NPPES
New Jersey MEDICAID 1441400

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