Whalio Doctors

NPI 1043693914

Tracie Hazelett

Practitioner Registered Nurse Crow Agency, MT

Practice location

Address
10110 S 7650 E, Crow Agency, MT 59022-0009
Phone
(406) 638-3500
Mailing address
105 N Links Dr APT 2122, Avondale, AZ 85323-3057

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence RN158642 (AZ)

Registry record

NPI
1043693914
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Jul 2015
Record last updated
9 Jul 2015

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.