Individual provider · Type 1 NPI

Laura Antonia Hayden, PA

Surgical Physician Assistant · Columbia, MO

NPI number 1386875680 Active

Practice location

1100 Virginia Avenue
Columbia, MO 65212-0001

Fax (573) 882-1760

Mailing address

PO Box 843966
Kansas City, MO 64184-3966

Other practice locations

  • 611 W. Park St., Ed, Urbana, IL 61801-2500 · (217) 383-3313
  • 635 N Dearborn St, Chicago, IL 60654-4618 · (312) 694-2273

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085003506 (IL)
Physician Assistant 363A00000X2019043866 (MO)
Medical Physician Assistant 363AM0700X085-003506 (IL)
Surgical Physician Assistant 363AS0400X085-003506 (IL)
Surgical Physician Assistant Primary 363AS0400X2019043866 (MO)

Surgical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1386875680

Laura Antonia Hayden, PA's National Provider Identifier is 1386875680, issued on Aug 4, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, MO. The record was last updated on Jul 8, 2024.