Individual
HOLLY D HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
207 W 1ST ST, WEWOKA, OK 74884-2103
(405) 257-5422
(405) 257-5463
Mailing address
PO BOX 236, WETUMKA, OK 74883-0236
(405) 257-5422
(405) 257-5463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1158948
TX
363LF0000X
Family Nurse Practitioner
Primary
220118
OK
Other
Enumeration date
05/21/2024
Last updated
11/06/2024
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