Individual
AMANDA J HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
548 LAKES BLVD, BREAUX BRIDGE, LA 70517
(337) 332-0661
Mailing address
548 LAKES BLVD, BREAUX BRIDGE, LA 70517-3240
(337) 332-0661
(337) 332-0651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06127
LA
Other
Enumeration date
01/11/2011
Last updated
03/24/2021
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