Provider Demographics
NPI:1821774332
Name:DOLLARHIDE, HAYLEY (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:DOLLARHIDE
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 E LINCOLN RD STE B3
Mailing Address - Street 2:
Mailing Address - City:IDABEL
Mailing Address - State:OK
Mailing Address - Zip Code:74745-7345
Mailing Address - Country:US
Mailing Address - Phone:580-286-2947
Mailing Address - Fax:580-286-2947
Practice Address - Street 1:1425 E LINCOLN RD STE B3
Practice Address - Street 2:
Practice Address - City:IDABEL
Practice Address - State:OK
Practice Address - Zip Code:74745-7345
Practice Address - Country:US
Practice Address - Phone:580-286-2947
Practice Address - Fax:580-286-8287
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK213697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily