Hayden, Angela Hebert

Hayden, Angela Hebert is an sole proprietor health care provider with primary practice located at 255 Enterprise Blvd Ste 101 , Greenville SC 29615-3530. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hayden, Angela Hebert can be contacted via phone (864) 454-8120.

Contact Information

Primary practice address
255 Enterprise Blvd Ste 101 Greenville SC 29615-3530
Phone: (864) 454-8120
Fax: (864) 454-8125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3859 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 3859 South Carolina

Profile Details

NPI number 1407090053
LBN Legal business name Hayden, Angela Hebert
Credentials APN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2009
Last updated Feb 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407090053 NPPES
South Carolina MEDICAID NP1947

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