# TIFFANY LACOLE HAYES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1518234491
- **Gender:** F
- **Credential:** MSN, ARNP, FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 28165938A | IN | — |
| 163WE0003X | Emergency Registered Nurse | 1116764 | KY | — |
| 363L00000X | Nurse Practitioner | 3007179 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | 3007179 | KY | — |
| 363LF0000X | Family Nurse Practitioner | 71003799A | IN | — |
| 363LF0000X | Family Nurse Practitioner | 71003799B | IN | — |

## Other

- **Enumeration date:** 11/21/2011
- **Last updated:** 07/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000746934 | ANTHEM - NICC | KY |
| 01 | — | 132355 | SIHO | KY |
| 05 | — | 201054410 | — | IN |
