Individual
CHARYS HAYDEN-TOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112
(707) 396-5151
Mailing address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112
(707) 396-5151
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95012198
CA
Other
Enumeration date
04/08/2020
Last updated
03/02/2023
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