Timothy E Hazard FNP

NPI 1003199720 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1003199720
Gender Male
Enumeration Date 09/20/2011
Last Updated 05/22/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
1303 38TH AVE N
MYRTLE BEACH SC, 29577-1315, US
Phone (866) 389-2727
Business Location
OSWEGO IL, 60543-4054, US
Phone (630) 554-9819
Taxonomy Code 363LF0000X
License State Illinois
License Number 209009051
Remove 1003199720 NPI Number

According to our database, Mr. Timothy E Hazard FNP NPI is 1003199720, taxonomy code is 363LF0000X and license number is 209009051, license state is located at Illinois. Timothy E Hazard FNP physically located at 1303 38th Ave N, Myrtle Beach SC, 29577-1315. NPI Number Timothy E Hazard FNP has the Individual type.

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1003199720 NPI number is provided on an as is basis without warranty of any kind. 1003199720 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy E Hazard FNP are for informational purposes only.