Individual provider · Type 1 NPI
Vicki Jo Hazlewood
General Practice Registered Nurse · Lafayette, IN
NPI number
1497994024
Active
Practice location
4315 S 950 E
Lafayette, IN 47905-9447
Fax (765) 296-7906
Mailing address
PO Box 186
Stockwell, IN 47983-0186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 28154421A (IN) |
General Practice Registered Nurse: Definition to come...
About NPI 1497994024
Vicki Jo Hazlewood's National Provider Identifier is 1497994024, issued on Feb 4, 2009. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Lafayette, IN. The record was last updated on Feb 4, 2009.