Provider Demographics
NPI:1942773890
Name:HAYHURST, TAMI (PMHNP, MSN)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:HAYHURST
Suffix:
Gender:F
Credentials:PMHNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 MAMMOTH RD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3254
Mailing Address - Country:US
Mailing Address - Phone:603-473-4451
Mailing Address - Fax:603-584-4822
Practice Address - Street 1:40 BEACON ST E
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3437
Practice Address - Country:US
Practice Address - Phone:603-542-1100
Practice Address - Fax:603-524-5795
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH050631-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty