Beth Ann Hayden
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
707 N Michigan St Ste 400
South Bend
, Indiana 46601-1067
Beth Ann Hayden
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
707 N Michigan St Ste 400
South Bend
, Indiana 46601-1067
(574) 237-6069
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Beth Ann Hayden
- 710 N Niles Ave
- South Bend, IN
- Zip : 46617-1924
- Fax : (574) 237-6069
- Phone : (574) 647-1610
Second Address
- Beth Ann Hayden
- 707 N Michigan St Ste 400
- South Bend, IN
- Zip : 46601-1067
- Fax : (574) 647-8475
- Phone : (574) 647-8470
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 71003954A | IN |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 71003954A | IN |
National Provider Identifier
| NPI | 1003172719 |
|---|---|
| Provider Name | Beth Ann Hayden |
| First Address | South Bend, IN 46617-1924 |
| Second Address | South Bend, IN 46601-1067 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2012 |
| Last Update Date | 30/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201067750 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.