IndividualActive
Amanda Hazeltine, DNP, MS, AGACNP-BC
NPI 1750007431 · Gerontology Nurse Practitioner · Duarte, CA
Provider details
- NPI number
- 1750007431
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, MS, AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 95027398 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1500 Duarte Rd
Duarte, CA 91010-3012
Phone: (800) 826-4673
Approximate (ZIP-level) locationGet directions
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Additional practice locations (1)
- 757 Westwood PlzLos Angeles, CA 90095-0001Phone: (310) 825-6301Fax: (310) 825-7473
Registry dates
- Enumerated
- 2022-10-14
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.