Hayden, Mary Lou

Hayden, Mary Lou is an individual health care provider with primary practice located at 7605 Forest Ave Suite 103, Richmond VA 23229-4938. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hayden, Mary Lou can be contacted via phone (804) 288-0055.

Contact Information

Primary practice address
7605 Forest Ave Suite 103 Richmond VA 23229-4938
Phone: (804) 288-0055
Fax: (804) 288-2659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024071278 Virginia

Profile Details

NPI number 1629019328
LBN Legal business name Hayden, Mary Lou
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1629019328 NPPES
Virginia MEDICAID 7786808

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