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CHANDA L HAZELWOOD
NPI 1679854848
Rehabilitation Practitioner in Las Vegas, NV

Active since September 01, 2011
4760 S PECOS RD # 103-25, LAS VEGAS, NV 89121(702) 772-9346(702) 446-8465 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chanda L Hazelwood NPPES

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

CHANDA L HAZELWOOD (NPI 1679854848) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1679854848
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameCHANDA L HAZELWOOD
Location Address4760 S PECOS RD # 103-25Las Vegas, NV 89121-5828
Mailing Address343 Abbington StHenderson, NV 89074-4931 · (702) 772-9346 · Fax (702) 446-8465
Phone(702) 772-9346
Fax(702) 446-8465
Sole ProprietorNo
Enumeration DateSeptember 1, 2011
✔ NPI 1679854848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
4760 S PECOS RD # 103-25, Las Vegas, NV 89121
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Other Identifiers 1

Medicaid9005054570NV

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 Chanda Hazelwood's NPI number?

The NPI number for Chanda Hazelwood is 1679854848. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Chanda Hazelwood located?

Chanda Hazelwood practices at 4760 S Pecos Rd # 103-25, Las Vegas, NV 89121. The listed phone number is (702) 772-9346.

What is Chanda Hazelwood's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Chanda Hazelwood was last updated on September 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.