Patricia Banaszek Hazard, CRNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

R174850 Issued in MD

Practice address

1060 W Perimeter Rd
JB Andrews, MD 20762-6602

Phone

(240) 612-1400

Fax

(240) 312-1199

NPI assigned

May 13, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Patricia Banaszek Hazard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1013184779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W PERIMETER RD",
            "city": "ANDREWS AFB",
            "state": "MD",
            "postal_code": "207626601",
            "telephone_number": "240-857-2979",
            "fax_number": "240-857-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W PERIMETER RD",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207626602",
            "telephone_number": "240-612-1400",
            "fax_number": "240-312-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARD",
        "first_name": "PATRICIA",
        "middle_name": "BANASZEK",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R174850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HAZARD",
            "middle_name": "BANASZEK",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Groden
• Raquel Tanzswa Hall, PHYSICIAN ASSISTANT
• Daniel Joseph Halse Jr., DDS
• Percival Carlos Hargrove, PA
• Amanda Marie Hawkins, MD
• Healing Roots Together LLC
• Erica Heffner
• Chrystal Dilworth Henderson, M.D.
• Jordan C Hibbard
• Clayton Gray Hicks Sr., DMD

• Obstetrics & Gynecology Nurse Practitioner in JB Andrews, MD
• Providers in JB Andrews, MD by specialty
• Obstetrics & Gynecology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.