Provider Demographics
NPI:1063758654
Name:DAMIA HAYMAN CFNP LLC
Entity type:Organization
Organization Name:DAMIA HAYMAN CFNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-812-5931
Mailing Address - Street 1:2415 JACKSON AVE
Mailing Address - Street 2:1B
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-2042
Mailing Address - Country:US
Mailing Address - Phone:304-812-5931
Mailing Address - Fax:304-812-5933
Practice Address - Street 1:2415 JACKSON AVE
Practice Address - Street 2:1B
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-2042
Practice Address - Country:US
Practice Address - Phone:304-812-5931
Practice Address - Fax:304-812-5933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-31
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty