Provider Demographics
NPI:1316762594
Name:CABRAS, HAZEL TAN (RN)
Entity type:Individual
Prefix:
First Name:HAZEL
Middle Name:TAN
Last Name:CABRAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 PLANNERS WAY
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-7687
Mailing Address - Country:US
Mailing Address - Phone:707-761-5381
Mailing Address - Fax:
Practice Address - Street 1:313 PLANNERS WAY
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-7687
Practice Address - Country:US
Practice Address - Phone:707-761-5381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA679252163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse