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Individual

DIANE ELIZABETH HAZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
500 MERRIMACK ST, LAWRENCE, MA 01843-1981
(978) 557-8880
(978) 557-8811
Mailing address
59 LAWRENCE ST, METHUEN, MA 01844-4447

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN2284166
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
2284166
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN2284166
MASSACHUSETTS BOARD OF REGISTRATION IN NURSING
MA
Enumeration date
02/06/2014
Last updated
06/30/2020
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