Individual
NICOLE R HAZELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
216 ELM ST, JACKSON, MO 63755-1708
(573) 576-1903
Mailing address
216 ELM ST, JACKSON, MO 63755-1708
(573) 576-1903
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041429789
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
2002019453
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110375
HEALTHLINK
MO
01
—
P00726014
RAILROAD
MO
Enumeration date
04/14/2009
Last updated
11/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us