Provider Demographics
NPI:1326916347
Name:HAZLO PC
Entity type:Organization
Organization Name:HAZLO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BRUNO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-C
Authorized Official - Phone:402-972-5499
Mailing Address - Street 1:1026 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2002
Mailing Address - Country:US
Mailing Address - Phone:402-972-5499
Mailing Address - Fax:402-939-0523
Practice Address - Street 1:1026 S 32ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2002
Practice Address - Country:US
Practice Address - Phone:402-972-5499
Practice Address - Fax:402-939-0523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty