MEDICARE: AMANDA HAYES NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1096557	TX

General Provider Information

NPI Number	:	1073230025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA HAYES NP

Provider Business Mailing Address
First Line	:	4700 WOODHAVEN LN
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76137-2834
Country	:	US
Telephone Number	:	858-888-2743
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 N MACARTHUR BLVD STE 330
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-3611
Country	:	US
Telephone Number	:	72-887-3376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2022
Last Update Date	:	02/27/2026

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