IndividualActive
Ingrid Hazlett, APRN, AGCNS-BC
NPI 1134585102 · Gerontology Clinical Nurse Specialist · Missoula, MT
Provider details
- NPI number
- 1134585102
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, AGCNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- NUR-APRN-LIC-126570 (MT)
Practice location
900 N Orange St Ste 304
Missoula, MT 59802-2951
Phone: (406) 329-5781
Fax: (406) 327-3331
Mailing address
Po Box 12
Liberty Lake, WA 99019-0012
Registry dates
- Enumerated
- 2016-01-06
- Last updated
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.