Healthcare Provider Details

I. General information

NPI: 1477532679
Provider Name (Legal Business Name): MARGARET MARY DAMIA HAYMAN CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET MARY DAMIA BALL RN

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41865 POMEROY PIKE
POMEROY OH
45769-9473
US

IV. Provider business mailing address

PO BOX 188
CHILLICOTHEE OH
45601-0188
US

V. Phone/Fax

Practice location:
  • Phone: 740-992-0540
  • Fax: 740-773-4018
Mailing address:
  • Phone: 740-773-4366
  • Fax: 740-773-4426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN52171NP
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP08312
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.08312
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: