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NPI Code Detail

MEDICARE: HAYDEN THOMAS PMHNP

MEDICARE: HAYDEN THOMAS PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner305235NC

General Provider Information

NPI Number : 1912864620
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYDEN THOMAS PMHNP
Provider Business Mailing Address
First Line : 901 NUTT ST APT 503
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-3399
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 IRON GATE DR STE 204
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6624
Country : US
Telephone Number : 910-500-7072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ HAYDEN THOMAS PMHNP” Practice Location

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