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: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4941 N TOWNE CENTRE DR
OZARK MO
65721-8280
US

IV. Provider business mailing address

PO BOX 7411626
CHICAGO IL
60674-5626
US

V. Phone/Fax

Practice location:
  • Phone: 417-551-4810
  • Fax: 417-551-4814
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: