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NPI Code Detail

MEDICARE: ELIZABETH LYNN HAYES FNP-BC

MEDICARE: ELIZABETH LYNN HAYES FNP-BC
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
1363LP2300XPrimary Care Nurse Practitioner10030669OR
2363LF0000XFamily Nurse Practitioner10030669OR
3363LP2300XPrimary Care Nurse Practitioner0024194616VA

General Provider Information

NPI Number : 1285469643
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LYNN HAYES FNP-BC
Provider Business Mailing Address
First Line : 1846 E INNOVATION PARK DR
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85755-1963
Country : US
Telephone Number : 503-755-6703
Fax Number : 503-755-6704
Provider Business Practice Location Address
First Line : 535 SE WASHINGTON ST
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-4142
Country : US
Telephone Number : 503-755-6703
Fax Number : 503-755-6704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2024
Last Update Date : 03/12/2026

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