Provider Demographics
NPI:1447347323
Name:HAYKO, LORETTA A (NP-C)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:A
Last Name:HAYKO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8753 E BELL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1339
Mailing Address - Country:US
Mailing Address - Phone:480-656-1519
Mailing Address - Fax:480-444-1407
Practice Address - Street 1:8753 E BELL RD STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1339
Practice Address - Country:US
Practice Address - Phone:480-656-1519
Practice Address - Fax:480-444-1407
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3803363LA2200X, 363L00000X
NJ26NJ00085200363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine