Doctor Name: | MRS. MARY JANE HAYES |
NPI Number: | 1063420149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, CDE |
License Number: | R31834 |
Business Practice Address: | 332 2nd Ave N Wahpeton, ND - 580754528 |
Business Phone Number: | 7016427000 |
Business Fax Number: | |
Mailing Address: | 1388 17th Ave N, WAHPETON |
State: | ND |
Postal Code: | 580753139 |
Phone Number: | 7016421820 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | R31834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |