Provider Demographics
NPI:1518395169
Name:BROWN, HAYLEY SKINNER (MS, RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:SKINNER
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, RN, FNP-C
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:DIANE
Other - Last Name:SKINNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 S SAN MATEO DR
Mailing Address - Street 2:STE 230
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3857
Mailing Address - Country:US
Mailing Address - Phone:650-348-0454
Mailing Address - Fax:650-348-7923
Practice Address - Street 1:50 S SAN MATEO DR
Practice Address - Street 2:STE 230
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3857
Practice Address - Country:US
Practice Address - Phone:650-348-0454
Practice Address - Fax:650-348-7923
Is Sole Proprietor?:No
Enumeration Date:2013-10-17
Last Update Date:2013-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23369363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily