Individual
SUSAN M. HAZLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4400 ELM TREE RD S, SAINT PARIS, OH 43072-9631
(937) 605-5615
Mailing address
4400 ELM TREE RD S, SAINT PARIS, OH 43072-9631
(937) 605-5615
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.019489
OH
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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