Individual
ISHMAEL ROBERT HAYFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
1818 DAVIE AVE, STATESVILLE, NC 28677
(704) 873-1036
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-1036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
222727
NC
363LF0000X
Family Nurse Practitioner
Primary
222727
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222727
NORTH CAROLINA BOARD OF NURSING
NC
Enumeration date
08/01/2018
Last updated
10/15/2018
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