NPI 1003592254

Dallin Hazelgren

Practitioner Certified Registered Nurse Anesthetist Gilbert, AZ

Practice location

Address: 1900 N Higley Rd, Gilbert, AZ 85234-1604
Phone: (480) 543-2000
Mailing address: 21169 E Misty Ln, Queen Creek, AZ 85142-5062

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 229177 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 149383 (AZ)

Registry record

NPI: 1003592254
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2023
Record last updated: 20 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.