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Individual

BETH ANN HAYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
707 N MICHIGAN ST, STE 400, SOUTH BEND, IN 46601-1067
(574) 647-8470
(574) 647-8475
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71003954A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71003954A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201067750
IN
Enumeration date
04/06/2012
Last updated
02/06/2026
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