Organization
HAZEL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA D CARTER (CO-OWNER/ CLINICAL DIRECTOR)
(208) 906-2558
Entity
Organization
Contact information
Practice address
2584 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(208) 906-2558
Mailing address
2584 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(208) 906-2558
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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