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NPI Code Detail

MEDICARE: PAMELA M HAYWARD NP

MEDICARE:   PAMELA M HAYWARD  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
1363LF0000XFamily Nurse Practitioner2569WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1390807236DCOTHERWIUNITY
214208OTHERWIDEAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861451627
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA M HAYWARD NP
Provider Business Mailing Address
First Line : 53585 NOKOMIS RD
Second Line :
City : ASHLAND
State : WI
Zip : 54806-4272
Country : US
Telephone Number : 715-682-7133
Fax Number :
Provider Business Practice Location Address
First Line : 53585 NOKOMIS RD
Second Line :
City : ASHLAND
State : WI
Zip : 54806-4272
Country : US
Telephone Number : 715-682-7133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 09/15/2025

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