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NPI Code Detail

MEDICARE: MRS. KATHERINE ANNE HAYES-HAMMOND CPNP-AC

MEDICARE: MRS. KATHERINE ANNE HAYES-HAMMOND CPNP-AC
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
1363LP0222XCritical Care Pediatric Nurse Practitioner517004TX

General Provider Information

NPI Number : 1104926716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE ANNE HAYES-HAMMOND CPNP-AC
Provider Business Mailing Address
First Line : 4516 INMAN DR
Second Line :
City : THE COLONY
State : TX
Zip : 75056-3315
Country : US
Telephone Number : 972-625-6843
Fax Number :
Provider Business Practice Location Address
First Line : 7601 PRESTON RD
Second Line :
City : PLANO
State : TX
Zip : 75024-3214
Country : US
Telephone Number : 469-303-3678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 07/25/2016

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