Individual
MRS. CYNTHIA DUKE HAZELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6781 N 2100 E, LIBERTY, UT 84310-4701
(435) 770-4673
Mailing address
2561 S 1560 W, STE B, WOODS CROSS, UT 84087-2361
(801) 505-0821
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277575-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277575-4405
LICENSE
UT
Enumeration date
04/30/2009
Last updated
12/18/2020
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