Provider Demographics
NPI:1184073454
Name:ALLOWAY, HAZEL JUNE (RN)
Entity type:Individual
Prefix:
First Name:HAZEL
Middle Name:JUNE
Last Name:ALLOWAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E CARDINAL AVE
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-2604
Mailing Address - Country:US
Mailing Address - Phone:304-905-9715
Mailing Address - Fax:304-905-9715
Practice Address - Street 1:234 E CARDINAL AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-2604
Practice Address - Country:US
Practice Address - Phone:304-905-9715
Practice Address - Fax:304-905-9715
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV56182163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse