Individual
LEAH HAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(407) 256-2763
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1629162
CO
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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