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NPI Code Detail

MEDICARE: JOSHUA M. HAYES FNP

MEDICARE: JOSHUA M. HAYES 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
1363LF0000XFamily Nurse PractitionerNP-990020CO
2363LF0000XFamily Nurse PractitionerA003643AR

General Provider Information

NPI Number : 1639486665
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA M. HAYES FNP
Provider Business Mailing Address
First Line : 603 N PROGRESS AVE
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-4352
Country : US
Telephone Number : 479-215-3000
Fax Number :
Provider Business Practice Location Address
First Line : 603 N PROGRESS AVE
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-4352
Country : US
Telephone Number : 479-215-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2010
Last Update Date : 12/09/2014

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