Provider Demographics
NPI:1093743973
Name:HAYES, CECILIA KAY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:KAY
Last Name:HAYES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:CECILIA
Other - Middle Name:KAY
Other - Last Name:BURDETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2076 HIGHWAY 69 S
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-7036
Mailing Address - Country:US
Mailing Address - Phone:828-389-3608
Mailing Address - Fax:828-389-3826
Practice Address - Street 1:2076 HIGHWAY 69 S
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-7036
Practice Address - Country:US
Practice Address - Phone:828-389-3608
Practice Address - Fax:828-389-3826
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC093055363LF0000X
GARN073020363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000785309CMedicaid
NC5902096Medicaid
S00277Medicare UPIN
NC5902096Medicaid