Individual
INGRID HAZLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGCNS-BC
Contact information
Practice address
900 N ORANGE ST STE 304, MISSOULA, MT 59802-2951
(406) 329-5781
(406) 327-3331
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 329-5781
(406) 327-3331
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
APN.0992090-CNS
CO
364S00000X
Clinical Nurse Specialist
NUR-APRN-LIC-126570
MT
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
NUR-APRN-LIC-126570
MT
Other
Enumeration date
01/06/2016
Last updated
02/10/2025
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