Provider Demographics
NPI:1013971639
Name:HAYS, PEGGY A (APRN)
Entity Type:Individual
Prefix:MS
First Name:PEGGY
Middle Name:A
Last Name:HAYS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-3115
Mailing Address - Country:US
Mailing Address - Phone:270-247-3553
Mailing Address - Fax:270-247-3553
Practice Address - Street 1:416 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:KY
Practice Address - Zip Code:42066-3115
Practice Address - Country:US
Practice Address - Phone:270-247-3553
Practice Address - Fax:270-247-3553
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1035212163W00000X
KY3002969363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
0279403Medicare ID - Type Unspecified
0224019Medicare ID - Type Unspecified
0279703Medicare ID - Type Unspecified
0279303Medicare ID - Type Unspecified
NPP000Medicare UPIN
0279203Medicare ID - Type Unspecified
0279503Medicare ID - Type Unspecified
0279603Medicare ID - Type Unspecified
0279803Medicare ID - Type Unspecified