Individual provider · Type 1 NPI

Jeremy W. Hazeltine

Licensed Practical Nurse · Piqua, OH

NPI number 1265677074 Active

Practice location

511 Harrison St
Piqua, OH 45356-2427

Call (937) 778-1132 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X132938 IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1265677074

Jeremy W. Hazeltine's National Provider Identifier is 1265677074, issued on Dec 8, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Piqua, OH. The record was last updated on Dec 8, 2008.