MRS. MARY ELLEN HAZLE FNP
NPI 1376159673
Nurse Practitioner - Family in Glendale, CA

Q: What is Mary Ellen Hazle's NPI number?

The NPI number for Mary Ellen Hazle is 1376159673. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Q: What is Mary Ellen Hazle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ellen Hazle was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2020

1219 W GLENOAKS BLVD, GLENDALE, CA 91201(818) 662-5005 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Mary Ellen Hazle Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ELLEN HAZLE FNP (NPI 1376159673) is an individual family provider in Glendale, California, licensed in California (95004160) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1376159673

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARY ELLEN HAZLECredential: FNP

Location Address1219 W GLENOAKS BLVDGlendale, CA 91201-2201

Mailing Address1349 Ruberta AveGlendale, CA 91201-1409 · (818) 257-4754

Phone(818) 662-5005

Sole ProprietorYes

Enumeration DateSeptember 22, 2020

NPPES CertifiedSeptember 22, 2020

✔ NPI 1376159673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95004160

1219 W GLENOAKS BLVD, Glendale, CA 91201

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA HAMBARSOONIAN FNP

Nurse Practitioner (Family)

1219 W GLENOAKS BLVD
GLENDALE, CA 91201

Los Angeles County (818) 662-5005

LERNIK DARVANESIAN

Nurse Practitioner (Family)

1219 W GLENOAKS BLVD
GLENDALE, CA 91201

Los Angeles County (818) 205-5870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellen Hazle's NPI number?

The NPI number for Mary Ellen Hazle is 1376159673. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Mary Ellen Hazle located?

Mary Ellen Hazle practices at 1219 W Glenoaks Blvd, Glendale, CA 91201. The listed phone number is (818) 662-5005.

What is Mary Ellen Hazle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Ellen Hazle was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.