Mr. Timothy E Hazard
Nurse Practitioner
629 Solvang Way
Denmark
, Wisconsin 54208
Mr. Timothy E Hazard
Nurse Practitioner
629 Solvang Way
Denmark
, Wisconsin 54208
(920) 863-2600
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mr. Timothy E Hazard
- 629 Solvang Way
- Denmark, WI
- Zip : 54208-8951
- Phone : (920) 863-2600
Second Address
- Mr. Timothy E Hazard
- 629 Solvang Way
- Denmark, WI
- Zip : 54208
- Phone : (920) 863-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6952 | WI |
National Provider Identifier
| NPI | 1003199720 |
|---|---|
| Provider Name | Mr. Timothy E Hazard |
| First Address | Denmark, WI 54208-8951 |
| Second Address | Denmark, WI 54208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2011 |
| Last Update Date | 02/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003199720 | (05) | WI |
| 363F0000X | TAXONOMY# (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.