CASEY LEIGH HAZENBERG NPI 1558770420

NPI Information

NPI: 1558770420
Provider Name: CASEY LEIGH HAZENBERG
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1049 EDGEWATER ST NW
SALEM, OR
ZIP 97304
Phone: (503) 814-4400
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Casey Leigh Hazenberg is a family nurse practitioner in Salem, OR with 10 years of experience. Casey Leigh Hazenberg NPI is 1558770420. 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:

1049 EDGEWATER ST NW
SALEM, OR
ZIP 97304-046
Phone: (503) 814-4400

The NPI 1558770420 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 8/5/2014 and was last updated on 8/23/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	201404739NP-PP	OREGON	Yes

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

NPI Synchronization or Removal

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