National Provider Identifier

Marilee S Hazeltine

Marilee S Hazeltine is listed in the NPPES registry with a primary specialty of Registered Nurse in Jamestown, NY and a listed phone number of (716) 661-1400.

NPI 1083294581Jamestown, NYRegistered Nurse

Profile Overview

NPI
1083294581
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
April 09, 2021
Last Updated
April 09, 2021

Practice Location

  • 200 Dunham Ave
  • Jamestown, NY 14701-2528

Phone: (716) 661-1400

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1083294581
Entity Type
Individual
Last Name
Hazeltine
First Name
Marilee
Middle Name
S
Mailing Street Address
200 Dunham Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-2528
Mailing Country
US
Practice Street Address
200 Dunham Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-2528
Practice Country
US
Practice Phone
(716) 661-1400
Enumeration Date
April 09, 2021
Last Updated
April 09, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 09, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)