Individual
AUDRA ANNE HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
370 N HAVEN DR STE 101, TWIN FALLS, ID 83301-6023
(208) 732-2200
(208) 732-2201
Mailing address
370 N HAVEN DR STE 101, TWIN FALLS, ID 83301-6023
(208) 732-2200
(208) 732-2201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0997524-NP
CO
Other
Enumeration date
05/19/2022
Last updated
07/23/2025
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