Healthcare Provider Details

I. General information

NPI: 1649882770
Provider Name (Legal Business Name): BRITTANY HAYES CNM, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 11/27/2023
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 GRAND CONCOURSE FL 5
BRONX NY
10457-7606
US

IV. Provider business mailing address

1650 GRAND CONCOURSE FL 5
BRONX NY
10457-7606
US

V. Phone/Fax

Practice location:
  • Phone: 718-239-8383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number002019
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: