Individual
TIFFINIE HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP FNP-BC
Contact information
Practice address
811 LIBERTY ST, OTTAWA, KS 66067-3167
(785) 418-4755
Mailing address
811 LIBERTY ST, OTTAWA, KS 66067-3167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5383059051
KS
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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