Provider Demographics
NPI:1326443235
Name:HAY, ANGIE
Entity Type:Individual
Prefix:MS
First Name:ANGIE
Middle Name:
Last Name:HAY
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 1:513 SECOND ST
Mailing Address - Street 2:
Mailing Address - City:BERNICE
Mailing Address - State:OK
Mailing Address - Zip Code:74331-7059
Mailing Address - Country:US
Mailing Address - Phone:918-257-1592
Mailing Address - Fax:
Practice Address - Street 1:138 S. MAIN
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:OK
Practice Address - Zip Code:74331
Practice Address - Country:US
Practice Address - Phone:918-257-4244
Practice Address - Fax:918-257-4247
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist