Provider Demographics
NPI:1104198977
Name:HAYDEN, MARGARET EVANS (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:EVANS
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 MELVIN AVE
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1222
Mailing Address - Country:US
Mailing Address - Phone:662-801-1326
Mailing Address - Fax:410-295-1291
Practice Address - Street 1:211 MELVIN AVE
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1222
Practice Address - Country:US
Practice Address - Phone:662-801-1326
Practice Address - Fax:410-295-1291
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR190488163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant