Individual provider · Type 1 NPI

Ingrid Hazlett, APRN, AGCNS-BC

Gerontology Clinical Nurse Specialist · Missoula, MT

NPI number 1134585102 Active

Practice location

900 N Orange St Ste 304
Missoula, MT 59802-2951

Fax (406) 327-3331

Mailing address

PO Box 12
Liberty Lake, WA 99019-0012

Other practice locations

  • 207 E Main St Ste 202, Missoula, MT 59802-4423 · (406) 880-0394

Specialties and licenses

TaxonomyCodeLicense
Clinical Nurse Specialist 364S00000XAPN.0992090-CNS (CO)
Clinical Nurse Specialist 364S00000XNUR-APRN-LIC-126570 (MT)
Gerontology Clinical Nurse Specialist Primary 364SG0600XNUR-APRN-LIC-126570 (MT)

Gerontology Clinical Nurse Specialist: Definition to come...

17 other providers at this address

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About NPI 1134585102

Ingrid Hazlett, APRN, AGCNS-BC's National Provider Identifier is 1134585102, issued on Jan 6, 2016. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Missoula, MT. The record was last updated on Oct 15, 2026.