Individual
DANIEL HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA AVENUE, INDIANAPOLIS, IN 46256
(317) 621-2687
Mailing address
3414 W LEGENDARY RUN, CINCINNATI, OH 45245-3350
(513) 947-3414
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1067516
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
28171194A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000592772
ANTHEM PROVIDER NUMBER
IN
05
—
200519390
—
IN
05
—
2442324
—
OH
05
—
74001694
—
KY
Enumeration date
01/31/2007
Last updated
10/13/2020
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