Individual
MARIAN VIRGINIA HAZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
50 MILLER ST STE G, WINSTON SALEM, NC 27104-4206
(336) 718-1000
(336) 718-1065
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010377
NC
Other
Enumeration date
05/09/2013
Last updated
01/16/2024
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