Hayden, Beth Ann

Hayden, Beth Ann is an individual health care provider with primary practice located at 707 N Michigan St Ste 400, South Bend IN 46601-1067. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hayden, Beth Ann can be contacted via phone (574) 647-8470.

Contact Information

Primary practice address
707 N Michigan St Ste 400 South Bend IN 46601-1067
Phone: (574) 647-8470
Fax: (574) 647-8475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003954A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71003954A Indiana

Profile Details

NPI number 1003172719
LBN Legal business name Hayden, Beth Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2012
Last updated Mar 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003172719 NPPES
Indiana MEDICAID 201067750

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