TAMELA SUE HAZEL


Address: 2403 E Hill Dr, Fitchburg, WI 53711-5618
Phone: 6084442319

TAMELA SUE HAZEL (NPI# 1235487612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235487612
Entity Type Individual
Full Name TAMELA SUE HAZEL
Credential RN
Practice Address 2403 E Hill Dr
Fitchburg
WI 53711-5618
Practice Telephone 6084442319
Mailing Telephone 6084442319
Enumeration Date 2012-08-16
Last Update Date 2012-08-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
141615-030 WI Nursing Service Providers

Office Location

Street Address 2403 E HILL DR
City FITCHBURG
State WI
Zip Code 53711-5618

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City FITCHBURG
Zip Code 53711

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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