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MRS. GINA OETGEN HAZEL FNP-BC NPI 1356670350


NPI Information

NPI: 1356670350
Provider Name: MRS. GINA OETGEN HAZEL, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4750 WATERS AVE STE 202
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-7412
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MRS. Gina Oetgen Hazel, FNP-BC is a family nurse practitioner in Savannah, GA with 24 years of experience. MRS. Gina Oetgen Hazel, FNP-BC NPI is 1356670350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4750 WATERS AVE STE 202
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-7412
Fax: (912) 350-7297

The NPI 1356670350 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/22/2009 and was last updated on 8/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyRN152773GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1615817424CMEDICAIDGEORGIA
2615817424DMEDICAIDGEORGIA
3P01110452OTHERGEORGIARAILROAD MEDICARE
401721151OTHERAMERIGROUP
5NP2156MEDICAIDSOUTH CAROLINA
6P01278462OTHERGEORGIARAILROAD MEDICARE
7761061OTHERGEORGIAWELLCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.