OrganizationActive
Hazel Healthcare LLC
NPI 1679355036 · Primary Care Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1679355036
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Laura Carter, Owner, Ceo(208) 906-2558
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2584 N Stokesberry Pl
Meridian, ID 83646-1144
Phone: (208) 412-6905
Approximate (ZIP-level) locationGet directions
Mailing address
2584 N Stokesberry Pl
Meridian, ID 83646-1144
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2024-01-19
- Certified
- 2024-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.