Doctor Name: | MS. MARCIA ANN HAYES |
NPI Number: | 1891009338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4236 |
Business Practice Address: | 575 4th St Kewaunee, WI - 542161785 |
Business Phone Number: | 9203884640 |
Business Fax Number: | 9203880479 |
Mailing Address: | Po Box 22487, GREEN BAY |
State: | WI |
Postal Code: | 543052487 |
Phone Number: | 9204457222 |
Fax Number: | 9204457289 |
NPI Enumeration Date: | 07/26/2010 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4236 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |