# HAZEL HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962266403
- **Authorized official:** LAURA D CARTER (CO-OWNER/ CLINICAL DIRECTOR)
- **Authorized official phone:** (208) 906-2558

## Contact information

- **Practice address:** 2584 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
- **Practice address phone:** (208) 906-2558
- **Mailing address:** 2584 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
- **Mailing address phone:** (208) 906-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2024
- **Last updated:** 02/06/2024