Healthcare Provider Details
I. General information
NPI: 1326916347
Provider Name (Legal Business Name): HAZLO PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1026 S 32ND ST
OMAHA NE
68105-2002
US
IV. Provider business mailing address
1026 S 32ND ST
OMAHA NE
68105-2002
US
V. Phone/Fax
- Phone: 402-972-5499
- Fax: 402-939-0523
- Phone: 402-972-5499
- Fax: 402-939-0523
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRUNO
CARO
Title or Position: MEDICAL PROVIDER
Credential: APRN-C
Phone: 402-972-5499