Provider Demographics
NPI:1730483009
Name:HAYDEN-MILLER, DEBBIE K (CNM)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:K
Last Name:HAYDEN-MILLER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 S BERRETTA LN
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-7826
Mailing Address - Country:US
Mailing Address - Phone:605-351-8041
Mailing Address - Fax:
Practice Address - Street 1:625 S BERRETTA LN
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-7826
Practice Address - Country:US
Practice Address - Phone:605-351-8041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-31
Last Update Date:2016-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK102824367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife