DIANA TIDAL HAYES

LEXINGTON, KY
NPI1609259639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3009431)
Enumeration Date2015-07-08
Last Update Date2022-08-17
Business Address
DIANA TIDAL HAYES APRN
2050 VERSAILLES RD
LEXINGTON, KY 40504-1405
Phone number: 859-257-3573
Mailing Address
DIANA TIDAL HAYES APRN
PO BOX 950204
LOUISVILLE, KY 40295-0204
Phone number: 502-425-9138