Provider Demographics
NPI:1336120468
Name:HAYES, CYNTHIA LOUISE THOMAS (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LOUISE THOMAS
Last Name:HAYES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S WESTMORELAND DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-2258
Mailing Address - Country:US
Mailing Address - Phone:407-835-9262
Mailing Address - Fax:407-836-7163
Practice Address - Street 1:101 S WESTMORELAND DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-2258
Practice Address - Country:US
Practice Address - Phone:407-835-9262
Practice Address - Fax:407-836-7163
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN1279952363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health