Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 071750 | MO |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 071750 | MO |
NPI | 1437137056 |
---|---|
Provider Name | Doris F Hays |
First Address | Poplar Bluff, MO 63901-3318 |
Second Address | Poplar Bluff, MO 63901-3318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 09/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
424800613 | (05) | MO |
P00000485 | TRAVELERS MEDICARE (01) | |
S86747 | (02) |