Healthcare Provider Details

I. General information

NPI: 1619168143
Provider Name (Legal Business Name): FRANCIE ANN HAYMAN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 08/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BURNS CT
GREENLAWN NY
11740-2612
US

IV. Provider business mailing address

5 BURNS CT
GREENLAWN NY
11740-2612
US

V. Phone/Fax

Practice location:
  • Phone: 631-261-8771
  • Fax:
Mailing address:
  • Phone: 631-261-8771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number445244-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: