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NPI Code Detail

MEDICARE: MRS. AMANDA LYN HAYES WHNP

MEDICARE: MRS. AMANDA LYN HAYES WHNP
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
1363L00000XNurse Practitioner95292536CA
2363LW0102XWomen's Health Nurse PractitionerAP08434LA

General Provider Information

NPI Number : 1932578820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA LYN HAYES WHNP
Provider Business Mailing Address
First Line : 3825 GILBERT DR STE 143
Second Line :
City : SHREVEPORT
State : LA
Zip : 71104-5000
Country : US
Telephone Number : 318-200-0020
Fax Number :
Provider Business Practice Location Address
First Line : 3825 GILBERT DR STE 143
Second Line :
City : SHREVEPORT
State : LA
Zip : 71104-5000
Country : US
Telephone Number : 318-200-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2015
Last Update Date : 02/03/2025

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