Individual
BRANDI ELIZABETH HAYHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD STE 302, SUMMERSVILLE, WV 26651-9308
(304) 872-7063
Mailing address
PO BOX 310, SUMMERSVILLE, WV 26651-0310
(304) 872-7063
(304) 872-7080
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
104152
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104152
APRN LICENSE
WV
01
—
68226
RN LICENSE
WV
Enumeration date
09/05/2019
Last updated
09/05/2019
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