Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP3803 | AZ |
N | 363LA2200X | Nurse Practitioner - Adult Health | AP3803 | AZ |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NJ00085200 | NJ |
NPI | 1447347323 |
---|---|
Provider Name | Loretta A Hayko |
First Address | Scottsdale, AZ 85260-1339 |
Second Address | Scottsdale, AZ 85260-1339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 17/03/2018 |