Provider Demographics
NPI:1033726252
Name:HAYDON, ANA MARIA
Entity Type:Individual
Prefix:MS
First Name:ANA MARIA
Middle Name:
Last Name:HAYDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 124TH ST SW APT F6
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5705
Mailing Address - Country:US
Mailing Address - Phone:425-232-8730
Mailing Address - Fax:
Practice Address - Street 1:120 124TH ST SW APT F6
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-5705
Practice Address - Country:US
Practice Address - Phone:425-232-8730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC56044171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0278300OtherLABOR AND INDUSTRIES