Provider Demographics
NPI:1033114921
Name:HAYES, JOANNE B (FNP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:B
Last Name:HAYES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 LYME ROAD
Mailing Address - Street 2:KENDAL AT HANOVER
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755
Mailing Address - Country:US
Mailing Address - Phone:603-643-8900
Mailing Address - Fax:
Practice Address - Street 1:80 LYME ROAD
Practice Address - Street 2:KENDAL AT HANOVER
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755
Practice Address - Country:US
Practice Address - Phone:603-643-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101-0029454363LF0000X
NH052157-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0NP4603Medicaid
VT8000069Medicaid
VT8000069Medicaid
VTNP4603Medicare ID - Type Unspecified