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NPI Code Detail

MEDICARE: DORIS F HAYS FNP

MEDICARE: DORIS F HAYS FNP
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
1363LC0200XCritical Care Medicine Nurse Practitioner071750MO
2363LF0000XFamily Nurse Practitioner071750MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00000485OTHERTRAVELERS MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437137056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS F HAYS FNP
Provider Business Mailing Address
First Line : 1500 N WESTWOOD BLVD
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-3318
Country : US
Telephone Number : 573-686-2411
Fax Number : 573-686-8452
Provider Business Practice Location Address
First Line : 1500 N WESTWOOD BLVD
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-3318
Country : US
Telephone Number : 573-686-2411
Fax Number : 573-686-8452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 09/09/2014

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