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

Quailla Marrianne Hazen

Individual provider Case Management Agency · NPI 1740747278

Quailla Marrianne Hazen is a Case Management Agency in Ponca City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

620 W Grand Ave
Ponca City, OK 74601-5123
Phone: (580) 762-1462
Fax: (580) 765-7299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1740747278
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2019
Last updated in NPPESFebruary 20, 2019

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