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Individual

NANCY RUTH HAZLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
800 WALNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19107-5109
(215) 829-8000
(215) 829-8623
Mailing address
800 WALNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19107-5109
(215) 829-8000
(215) 829-8623

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW008403L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01552822-09
AMERICHOICE (MA)
PA
05
1552822
PA
01
19394000
BLUE CROSS - HMO
PA
01
23-2080862
PRUDENTIAL
PA
01
3504896
AETNA FACILITY HMO 1307
PA
01
5160420
AETNA PPO
PA
01
557731
USHC PROFESSIONAL
PA
01
6475804
CIGNA
PA
01
882567
BLUE CROSS PPO
PA
01
9008285
PRIVATE HEALTHCARE
PA
01
P003421
CHAMPUS
PA
Enumeration date
06/28/2006
Last updated
10/28/2013
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