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NPI Code Detail

MEDICARE: MISS HAZEL MABVURUNGE MUS APRN-BC

MEDICARE:  MISS HAZEL MABVURUNGE MUS  APRN-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1227372TX

General Provider Information

NPI Number : 1396698072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HAZEL MABVURUNGE MUS APRN-BC
Provider Business Mailing Address
First Line : 2653 SHERWOOD DR
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-5403
Country : US
Telephone Number : 972-655-9805
Fax Number : 972-655-9805
Provider Business Practice Location Address
First Line : 2653 SHERWOOD DR
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-5403
Country : US
Telephone Number : 972-655-9805
Fax Number : 972-655-9805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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