Healthcare Provider Details

I. General information

NPI: 1700432812
Provider Name (Legal Business Name): CASSANDRA CATHERINE HAYES FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 CEDAR ST
BRANSON MO
65616-3506
US

IV. Provider business mailing address

402 CEDAR ST
BRANSON MO
65616-3506
US

V. Phone/Fax

Practice location:
  • Phone: 417-230-0309
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2019031568
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: