Individual
MS. MICHELLE DAWN HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
831 S ASH ST, MOSCOW, ID 83843
(208) 885-6693
Mailing address
5217 ROBINSON PARK RD, MOSCOW, ID 83843-9194
(208) 761-2408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65286
ID
Other
Enumeration date
07/20/2020
Last updated
09/12/2025
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