Healthcare Provider Details

I. General information

NPI: 1629203005
Provider Name (Legal Business Name): VICKY LEE HAY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 HEYMANN BLVD
LAFAYETTE LA
70503-2611
US

IV. Provider business mailing address

441 HEYMANN BLVD
LAFAYETTE LA
70503-2616
US

V. Phone/Fax

Practice location:
  • Phone: 337-289-8429
  • Fax: 337-289-8431
Mailing address:
  • Phone: 337-289-8429
  • Fax: 337-289-8431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5015773
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95008785
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number05950
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60698861
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: