| Ms Michelle Dawn Hazen, APRN-CNP | |
|
831 S Ash St, Moscow, ID 83843 | |
| (208) 885-6693 | |
| Not Available |
| Full Name | Ms Michelle Dawn Hazen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 831 S Ash St, Moscow, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902414527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 65286 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gritman Medical Center | Moscow, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gritman Medical Center Inc | 0941545784 | 20 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538634522 PECOS PAC ID: 0941545784 Enrollment ID: O20181221002296 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Michelle Dawn Hazen, APRN-CNP 5217 Robinson Park Rd, Moscow, ID 83843-9194 Ph: (208) 761-2408 | Ms Michelle Dawn Hazen, APRN-CNP 831 S Ash St, Moscow, ID 83843 Ph: (208) 885-6693 |
Joanne L Braun, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 623 South Main Street, M/med/qi, Sa-1, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Sara B Presol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-7565 Fax: 208-882-7567 | |
Mrs. Deborah Wynne Medel, N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-7565 | |
Stephanie Nicole Voss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 110, Moscow, ID 83843 Phone: 208-813-7519 | |
Fawna Sunshine Huffman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 W A St, Moscow, ID 83843 Phone: 208-883-1135 Fax: 208-892-0174 | |
Clint Emmett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Perimeter Dr # Ms 3140, Moscow, ID 83844 Phone: 208-885-6716 Fax: 208-885-4354 | |
Rachel Carnes, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540 |