Healthcare Provider Details

I. General information

NPI: 1528012275
Provider Name (Legal Business Name): CAROL A. HAY A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 N MYRTLE AVE
CLEARWATER FL
33755-4254
US

IV. Provider business mailing address

807 N MYRTLE AVE
CLEARWATER FL
33755-4254
US

V. Phone/Fax

Practice location:
  • Phone: 727-467-2400
  • Fax: 727-467-2477
Mailing address:
  • Phone: 727-467-2400
  • Fax: 727-467-2477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP3336412
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: