Individual provider · Type 1 NPI

Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC

Gerontology Nurse Practitioner · Duarte, CA

NPI number 1750007431 Active

Practice location

1500 Duarte Rd
Duarte, CA 91010-3012

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 757 Westwood Plz, Los Angeles, CA 90095-0001 · (310) 825-6301

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95027398 (CA)
Nurse Practitioner 363L00000XRN2346236 (MA)
Gerontology Nurse Practitioner Primary 363LG0600XNP95027398 (CA)
Acute Care Nurse Practitioner 363LA2100X95027398 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1750007431

Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC's National Provider Identifier is 1750007431, issued on Oct 14, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Duarte, CA. The record was last updated on Nov 24, 2025.