Healthcare Provider Details

I. General information

NPI: 1346240926
Provider Name (Legal Business Name): PATTY C HAYDEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5326 OAK STREET
ST. FRANCISVILLE LA
70775
US

IV. Provider business mailing address

PO BOX 487
SAINT FRANCISVILLE LA
70775-0487
US

V. Phone/Fax

Practice location:
  • Phone: 225-635-5848
  • Fax: 225-635-5842
Mailing address:
  • Phone: 225-635-5848
  • Fax: 225-635-5842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN045398
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP03957
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: