Individual
KRISTIN DENEILLE HAZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNM
Contact information
Practice address
1001 HART BLVD STE 100, MONTICELLO, MN 55362-8929
(763) 295-2921
(763) 581-9090
Mailing address
19170 JASPER ST NW, ANOKA, MN 55303-9639
(612) 867-7331
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
204419-0
MN
367A00000X
Advanced Practice Midwife
Primary
591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204419-0
REGISTERED NURSING LICENSE
MN
01
—
591
APRN LICENSE
MN
01
—
CNM09522
CERTIFIED NURSE MIDWIFE
MN
Enumeration date
09/07/2020
Last updated
10/09/2024
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