Provider Demographics
NPI:1447250527
Name:HAYES, HEATHER L (CRNP MSN FNP C)
Entity type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:L
Last Name:HAYES
Suffix:
Gender:F
Credentials:CRNP MSN FNP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 SPRINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2829
Mailing Address - Country:US
Mailing Address - Phone:610-873-3500
Mailing Address - Fax:610-363-5125
Practice Address - Street 1:757 SPRINGDALE DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2829
Practice Address - Country:US
Practice Address - Phone:610-873-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007803363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care