Provider Demographics
NPI:1023764792
Name:HAZLETT, KATRINA ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:ANN
Last Name:HAZLETT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:ANN
Other - Last Name:VOGT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1960 N OGDEN ST STE 600
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3666
Mailing Address - Country:US
Mailing Address - Phone:303-830-6666
Mailing Address - Fax:
Practice Address - Street 1:1960 N OGDEN ST STE 600
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3666
Practice Address - Country:US
Practice Address - Phone:303-830-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95020279363LF0000X
COAPN.0997317-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily