| Mrs Cynthia Duke Hazelwood, APRN | |
|
6781 N 2100 E, Liberty, UT 84310-4701 | |
| (435) 770-4673 | |
| Not Available |
| Full Name | Mrs Cynthia Duke Hazelwood |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 6781 N 2100 E, Liberty, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922242262 | NPI | - | NPPES |
| 277575-4405 | Other | UT | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 277575-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Applegate Homecare | Ogden, UT | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Duke Family And Wellness | 2860727351 | 2 |
| Entity Name | Alpine Management And Consulting |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427184449 PECOS PAC ID: 5496659245 Enrollment ID: O20031122000068 |
| Entity Name | Mountain View Foot And Ankle Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720590037 PECOS PAC ID: 6002843877 Enrollment ID: O20050722000757 |
| Entity Name | Advantage Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053861567 PECOS PAC ID: 4981971207 Enrollment ID: O20170517000340 |
| Entity Name | Duke Mobile Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104390111 PECOS PAC ID: 2860727351 Enrollment ID: O20190703002097 |
| Entity Name | Oak Hill Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164061370 PECOS PAC ID: 5991134355 Enrollment ID: O20200406001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cynthia Duke Hazelwood, APRN 2561 S 1560 W, Ste B, Woods Cross, UT 84087-2361 Ph: (801) 505-0821 | Mrs Cynthia Duke Hazelwood, APRN 6781 N 2100 E, Liberty, UT 84310-4701 Ph: (435) 770-4673 |