MEDICARE: HAYLEY A PERRY CNP

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	363L00000X	Nurse Practitioner	APRN.CNP.025664	OH

General Provider Information

NPI Number	:	1558912840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEY A PERRY CNP

Provider Business Mailing Address
First Line	:	441 NORTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-2616
Country	:	US
Telephone Number	:	614-507-9758
Fax Number	:

Provider Business Practice Location Address
First Line	:	441 NORTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-2616
Country	:	US
Telephone Number	:	614-812-1200
Fax Number	:

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

Provider Enumeration Date	:	09/27/2019
Last Update Date	:	01/18/2023

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