Provider Demographics
NPI:1437307576
Name:HAYES, QUEEN M (LPN)
Entity Type:Individual
Prefix:MS
First Name:QUEEN
Middle Name:M
Last Name:HAYES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MULDOWNEY CIR
Mailing Address - Street 2:APT A
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3531
Mailing Address - Country:US
Mailing Address - Phone:845-214-8738
Mailing Address - Fax:
Practice Address - Street 1:9 MULDOWNEY CIR
Practice Address - Street 2:APT A
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3531
Practice Address - Country:US
Practice Address - Phone:845-214-8738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292507-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse