| Doctor Name: | HAZEL I BURDITT |
| NPI Number: | 1194795864 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN-C |
| License Number: | 096180 |
| Business Practice Address: | 100 Medical Dr Hannibal, MO - 634016877 |
| Business Phone Number: | 5732215250 |
| Business Fax Number: | 5732313706 |
| Mailing Address: | 100 Medical Dr, P.o. Box 311 HANNIBAL |
| State: | MO |
| Postal Code: | 634016877 |
| Phone Number: | 5732215250 |
| Fax Number: | 5732313706 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 096180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |