Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APRN1095562 | FL |
N | 363LN0000X | Nurse Practitioner - Neonatal | ARNP1095562 | FL |
NPI | 1114937836 |
---|---|
Provider Name | Cynthia S Hayes |
First Address | Wesley Chapel, FL 33544-9207 |
Second Address | Wesley Chapel, FL 33544-9207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 24/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
022934700 | (05) | FL |
Y083T | BLUE CROSS BLUE SHIELD (01) | FL |