Georgia Glenn Hazzard, CNP
Individual provider Active NPI Adult Health Nurse Practitioner · Orient, OH
NPI 1255799649 · NPPES record last updated Feb 1, 2016
Key facts
- NPI
- 1255799649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 17306 (OH)
- Practice address
- 300 11271 State Route 762
Orient, OH 43146 - Phone
- (614) 877-2441
- Fax
- (614) 877-3853
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17306 | OH | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 17306 | OH | Yes |
Addresses
Primary practice location
300 11271 State Route 762
Orient, OH 43146
Mailing address
PO Box 300
11271 State Route 762
Orient, OH 43146-0300
Other providers in Orient, OH
- Lovie-Afi Greene
- Darryl Lee Hankins
- Hayley Harris
- Kimberly Lynn Hawkes
- Windy Hawkins
- Ronald Henderson
- Ashlyn Hickman
- Kelly Elisabeth Hickman
- Bonnie L Hodge
- Anissa Horvath
All providers in Orient, OH · Adult Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.