Provider Demographics
NPI:1194500041
Name:DONALDSON, HAZEL
Entity type:Individual
Prefix:
First Name:HAZEL
Middle Name:
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HAZEL
Other - Middle Name:
Other - Last Name:CAYTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2343 SINKING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:COXS MILLS
Mailing Address - State:WV
Mailing Address - Zip Code:26342-8251
Mailing Address - Country:US
Mailing Address - Phone:304-462-5786
Mailing Address - Fax:
Practice Address - Street 1:101 2ND ST STE 201
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:WV
Practice Address - Zip Code:26601-1303
Practice Address - Country:US
Practice Address - Phone:304-765-3668
Practice Address - Fax:304-471-2488
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker