Individual
MARISA ADELE HAZLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-2000
Mailing address
6674 E TELEGRAPH ST, YUMA, AZ 85365-8856
(303) 304-4412
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
RN216296
AZ
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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