Individual
STACEY HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2490 S WOODWORTH LOOP, PALMER, AK 99645-7410
(907) 861-6315
(907) 861-6315
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589880
—
AZ
Enumeration date
06/23/2006
Last updated
04/15/2025
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