Individual
HEATHER MARIE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP124061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330200203
—
TX
01
—
598601YKRY
MEDICARE PTAN
TX
01
—
8GV271
BCBS
TX
Enumeration date
06/24/2013
Last updated
05/21/2018
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