Healthcare Provider Details

I. General information

NPI: 1780136952
Provider Name (Legal Business Name): ERIN ELIZABETH HAYFORD ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2016
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 WINTHROP ST
AUGUSTA ME
04330-5544
US

IV. Provider business mailing address

74 WINTHROP ST
AUGUSTA ME
04330-5544
US

V. Phone/Fax

Practice location:
  • Phone: 207-221-6335
  • Fax: 207-331-5123
Mailing address:
  • Phone: 207-221-6335
  • Fax: 207-331-5123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNP601
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: