Individual
ETHAN HAZELRIGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, MSN, CRNA
Contact information
Practice address
500 HEATHRIDGE LANE, CARY, NC 27513
(919) 720-2723
Mailing address
500 HEATHRIDGE LANE, CARY, NC 27513
(919) 720-2723
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
214369
NC
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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