Individual provider · Type 1 NPI

Michelle Dawn Hazen, APRN-CNP

Family Nurse Practitioner · Moscow, ID

NPI number 1902414527 Active

Practice location

831 S Ash St
Moscow, ID 83843

Call (208) 885-6693 Map

Mailing address

5217 Robinson Park Rd
Moscow, ID 83843-9194

Other practice locations

  • 5217 Robinson Park Rd, Moscow, ID 83843-9194 · (208) 761-2408
  • 623 S Main St Ste 1, Moscow, ID 83843-3042 · (208) 882-2011
  • 700 S Main St, Moscow, ID 83843-3046 · (288) 882-4511

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X65286 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1902414527

Michelle Dawn Hazen, APRN-CNP's National Provider Identifier is 1902414527, issued on Jul 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moscow, ID. The record was last updated on Sep 12, 2025.