Provider Demographics
NPI:1073610176
Name:HAYES, DANNY M (CRNA)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:M
Last Name:HAYES
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 VAN BUREN RD
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-3572
Mailing Address - Country:US
Mailing Address - Phone:207-498-1320
Mailing Address - Fax:207-498-1320
Practice Address - Street 1:473 VAN BUREN RD
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-3572
Practice Address - Country:US
Practice Address - Phone:207-498-1320
Practice Address - Fax:207-498-1320
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER046925367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM9286Medicare ID - Type Unspecified