Individual
MARIAH HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
823 ELM ST STE 200, FAYETTEVILLE, NC 28303-4164
(910) 580-8195
(318) 906-4613
Mailing address
PO BOX 48072, CUMBERLAND, NC 28331-8072
(910) 580-8195
(910) 828-2934
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200446
NC
Other
Enumeration date
10/29/2021
Last updated
05/26/2023
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