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1609259639
DIANA TIDAL HAYES
LEXINGTON, KY
NPI
1609259639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3009431)
Enumeration Date
2015-07-08
Last Update Date
2022-08-17
Business Address
DIANA TIDAL HAYES APRN
2050 VERSAILLES RD
LEXINGTON, KY 40504-1405
Phone number: 859-257-3573
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Mailing Address
DIANA TIDAL HAYES APRN
PO BOX 950204
LOUISVILLE, KY 40295-0204
Phone number: 502-425-9138
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