Healthcare Provider Details

I. General information

NPI: 1730010323
Provider Name (Legal Business Name): HAIREE HAYDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HAIREE LEE

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 N PROVIDENCE RD
MEDIA PA
19063-3056
US

IV. Provider business mailing address

1027 GYPSY HILL RD
AMBLER PA
19002-2010
US

V. Phone/Fax

Practice location:
  • Phone: 484-440-9416
  • Fax: 484-551-0474
Mailing address:
  • Phone: 857-277-3592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: