# MS. KATHLEEN M HAZEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619043742
- **Gender:** F
- **Credential:** NP CNM MSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | F-420766-1 | NY | — |
| 207VG0400X | Gynecology Physician | F420766-1 | NY | — |
| 363L00000X | Nurse Practitioner | F420766-1 | NY | — |
| 363LW0102X | Women's Health Nurse Practitioner | F-420766-1 | NY | — |
| 367A00000X | Advanced Practice Midwife | 003737 | CT | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 06/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000379 | CT MIDWIFE LICENSE | CT |
| 05 | — | 00362863 | — | NY |
| 05 | — | 02914276 | — | NY |
| 01 | — | 140082 | RN | TN |
| 01 | — | 16805 | APN LICENSE- MIDWIFE | TN |
| 01 | — | 379 | MIDWIFE LICENSE | CT |
| 01 | — | F-420766-1 | LICENSE | NY |