Provider Demographics
NPI:1336480953
Name:HAYES, COLELISA FRANSINE (RN)
Entity Type:Individual
Prefix:
First Name:COLELISA
Middle Name:FRANSINE
Last Name:HAYES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1541
Mailing Address - Country:US
Mailing Address - Phone:614-376-3462
Mailing Address - Fax:614-754-8668
Practice Address - Street 1:474 N OHIO AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1140
Practice Address - Country:US
Practice Address - Phone:614-376-3462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN387726163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse