Provider Demographics
NPI:1255414181
Name:HAYDEN GRIFFIN, ERIN CARTER (RNFNP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:CARTER
Last Name:HAYDEN GRIFFIN
Suffix:
Gender:F
Credentials:RNFNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:HAYDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN FNP
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-0700
Mailing Address - Country:US
Mailing Address - Phone:318-368-9745
Mailing Address - Fax:318-368-1027
Practice Address - Street 1:PO BOX 700
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-0700
Practice Address - Country:US
Practice Address - Phone:318-368-9745
Practice Address - Fax:318-368-1027
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04516363LF0000X, 363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1478351Medicaid
LA1478351Medicaid