Individual
HAZEL E DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0840
(617) 774-0882
Mailing address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0840
(617) 774-0882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
173775
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
173775
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377180
—
MA
01
—
N933
HARVARD PILGRIM
MA
01
—
NP1811
BLUE CROSS
MA
Enumeration date
03/20/2006
Last updated
10/26/2020
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