Provider Demographics
NPI:1598011090
Name:HAYES-DOZIER, CAROLYN SANDRA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:SANDRA
Last Name:HAYES-DOZIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 POWELL RD
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:19015-1934
Mailing Address - Country:US
Mailing Address - Phone:215-615-8069
Mailing Address - Fax:
Practice Address - Street 1:1616 POWELL RD
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:PA
Practice Address - Zip Code:19015-1934
Practice Address - Country:US
Practice Address - Phone:215-615-8069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008630363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily