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
Phone: (856) 342-3150
Fax: (856) 968-8418
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619190089 | NPPES |
New Jersey | MEDICAID | 1441400 |
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