Hayden, Rebecca

Hayden, Rebecca is an individual health care provider with primary practice located at 11125 Dunn Road Suite 213 Physicians Office Building 2, St. Louis MO 63136-6132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Hayden, Rebecca can be contacted via phone (314) 479-7749.

Contact Information

Primary practice address
11125 Dunn Road Suite 213 Physicians Office Building 2 St. Louis MO 63136-6132
Phone: (314) 479-7749
Fax: (314) 469-2992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN140351 Missouri

Profile Details

NPI number 1851390124
LBN Legal business name Hayden, Rebecca
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 3rd, 2011 - about 15 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 1851390124 NPPES
Missouri MEDICAID 424877215
Missouri Other P00141675

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