Provider Demographics
NPI:1164657300
Name:HAYDEN, STEPHEN J (APN)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:J
Last Name:HAYDEN
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 REYNOLDS RD.
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:96020-7455
Mailing Address - Country:US
Mailing Address - Phone:530-258-2826
Mailing Address - Fax:530-258-2802
Practice Address - Street 1:199 REYNOLDS RD.
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:CA
Practice Address - Zip Code:96020-7455
Practice Address - Country:US
Practice Address - Phone:530-258-2826
Practice Address - Fax:530-258-2802
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001116363LF0000X
CA95000883163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice