Individual
ANGELA HEBERT HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
255 ENTERPRISE BLVD STE 101, GREENVILLE, SC 29615-3530
(864) 454-8120
(864) 454-8125
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3859
SC
363LG0600X
Gerontology Nurse Practitioner
3859
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1947
—
SC
Enumeration date
04/27/2009
Last updated
02/12/2015
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