Individual
MICKEYA PATRICE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 OAK GROVE RD, CHESAPEAKE, VA 23320-3728
(757) 977-8500
(757) 451-9694
Mailing address
5713 AMBERBROOKE ARCH APT 302, VIRGINIA BEACH, VA 23464-9150
(504) 261-2356
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024179989
VA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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