Provider Demographics
NPI:1386340248
Name:HAZLEWOOD, SHARON NATHALIE
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:NATHALIE
Last Name:HAZLEWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 SHERIDAN ST APT 518
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3210
Mailing Address - Country:US
Mailing Address - Phone:240-463-6240
Mailing Address - Fax:
Practice Address - Street 1:461 H ST NW APT 1018
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4716
Practice Address - Country:US
Practice Address - Phone:202-829-8061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant