Provider Demographics
NPI:1073396008
Name:MERRILL, HAYLEY ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:ANN
Last Name:MERRILL
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1290 SILAS DEANE HWY
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2890 MAIN ST STE 2A
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4980
Practice Address - Country:US
Practice Address - Phone:203-378-3696
Practice Address - Fax:203-383-7222
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-10-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant