Provider Demographics
NPI:1033505201
Name:HAYES, ANDREA (HAIR LOSS SPEC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:HAIR LOSS SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9618 INVERARY CT
Mailing Address - Street 2:BRICK HEARTH CT
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1911
Mailing Address - Country:US
Mailing Address - Phone:360-250-9721
Mailing Address - Fax:
Practice Address - Street 1:7127 ALLENTOWN RD
Practice Address - Street 2:STE 205
Practice Address - City:FT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-1000
Practice Address - Country:US
Practice Address - Phone:240-459-3062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management