Individual
TAMELA SUE HAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2403 E HILL DR, FITCHBURG, WI 53711-5618
(608) 444-2319
Mailing address
2403 E HILL DR, FITCHBURG, WI 53711-5618
(608) 444-2319
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
141615-030
WI
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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