Doctor Name: | HAYLEY ABEL PENTZIEN BYINGTON |
NPI Number: | 1265785885 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNP, CPNP-PC |
License Number: | 5104-33 |
Business Practice Address: | 4881 Sugar Maple Dr Wright Patterson Afb, OH - 454335529 |
Business Phone Number: | 9375224798 |
Business Fax Number: | |
Mailing Address: | 4881 Sugar Maple Dr, WRIGHT PATTERSON AFB |
State: | OH |
Postal Code: | 454335529 |
Phone Number: | 9375224798 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2012 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 5104-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |