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

Nicholas A Hazlett

Individual provider Case Manager/Care Coordinator · NPI 1790656908

Nicholas A Hazlett is a Case Manager/Care Coordinator in Jefferson, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1790656908
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address1541 Annex Rd, Jefferson, WI 53549-9803

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