Individual provider · Type 1 NPI

Mary Ellen Hazle, FNP

Family Nurse Practitioner · Glendale, CA

NPI number 1376159673 Active

Practice location

1219 W Glenoaks Blvd
Glendale, CA 91201-2201

Call (818) 662-5005 Map

Mailing address

1349 Ruberta Ave
Glendale, CA 91201-1409

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95004160 (CA)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1376159673

Mary Ellen Hazle, FNP's National Provider Identifier is 1376159673, issued on Sep 22, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glendale, CA. The record was last updated on Sep 22, 2020.