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Individual

BENJAMIN W HAYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN NP-C

Contact information

Practice address
261 HIGHWAY 132, MANGHAM, LA 71259-5269
(318) 248-2807
(318) 248-2967
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04773
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1706671
LA
Enumeration date
06/21/2006
Last updated
01/15/2016
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