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NPI Code Detail

MEDICARE: MICKEYA PATRICE HAYES NP

MEDICARE:   MICKEYA PATRICE HAYES  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner0024179989VA

General Provider Information

NPI Number : 1396358651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICKEYA PATRICE HAYES NP
Provider Business Mailing Address
First Line : 5713 AMBERBROOKE ARCH APT 302
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-9150
Country : US
Telephone Number : 504-261-2356
Fax Number :
Provider Business Practice Location Address
First Line : 700 OAK GROVE RD
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3728
Country : US
Telephone Number : 757-977-8500
Fax Number : 757-451-9694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2020
Last Update Date : 08/26/2020

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Directions to “ MICKEYA PATRICE HAYES NP” Practice Location

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