MEDICARE: VICTORIA HAYDEN APRN, DNP

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
1	363LF0000X	Family Nurse Practitioner	4007319	KY

General Provider Information

NPI Number	:	1922781129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA HAYDEN APRN, DNP

Provider Business Mailing Address
First Line	:	161 N EAGLE CREEK DR STE 400
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2256
Country	:	US
Telephone Number	:	859-226-0031
Fax Number	:	859-226-0041

Provider Business Practice Location Address
First Line	:	800 ROSE ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-2256
Country	:	US
Telephone Number	:	859-323-0295
Fax Number	:	859-323-1256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	07/22/2024

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