Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JO HAZUKA, NP-C
ActiveFamily Nurse Practitioner · FAIRMONT, WV
Registration Details
- NPI Number
- 1205188240
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2012 (13.53070686532 yrs)
- Last Updated
- Oct 5, 2017
- License
-
58344 (WV)
Practice Information
- Address
-
100 AVERY OLIVIA WAY STE BFAIRMONT, WV, 265549375Browse WV providers · Browse ZIP 26554
- Phone
- 3043331650
- Fax
- 3043331651
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in FAIRMONT, WV
| Name | Credential | NPI |
|---|---|---|
| SHARON ANN SENFT | CFNP | 1437273240 |
| MRS. MARY PATRICIA WATSON | APRN BC | 1467653139 |
| CHRISTINE LYNN MOTT | CFNP | 1255633103 |
| MR. AARON LEE SANTMYIRE | — | 1407146954 |
| CHAD ROSS MARSH | CFNP | 1891065207 |
| MEGAN S VINCENT | APRN, FNP-BC | 1801156559 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.