Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mary Ellen Hazle, FNP

Individual provider Family Nurse Practitioner · NPI 1376159673

Mrs. Mary Ellen Hazle, FNP is a Family Nurse Practitioner in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1219 W Glenoaks Blvd
Glendale, CA 91201-2201
Phone: (818) 662-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95004160 (CA)

Record details

NPI number1376159673
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020

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