Individual
MICHELLE MARIE HAZELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
2003 ITASCA AVE, SAINT PAUL, MN 55116-2518
(612) 743-5364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2554
MN
Other
Enumeration date
12/28/2020
Last updated
11/26/2024
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