Individual
MS. ROBIN R HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4038 N REMINGTON DR, FAYETTEVILLE, AR 72703-6345
(479) 444-6522
Mailing address
4038 N REMINGTON DR, FAYETTEVILLE, AR 72703-6345
(479) 444-6522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001321
IA
363A00000X
Physician Assistant
Primary
1239
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28198
WELLMARK BCBS
IA
Enumeration date
09/22/2005
Last updated
03/05/2024
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