Provider Demographics
NPI:1467944827
Name:HAYS, MIRANDA R (BA)
Entity Type:Individual
Prefix:MS
First Name:MIRANDA
Middle Name:R
Last Name:HAYS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 S VINE ST
Mailing Address - Street 2:
Mailing Address - City:CRESTON
Mailing Address - State:IA
Mailing Address - Zip Code:50801-3968
Mailing Address - Country:US
Mailing Address - Phone:641-202-1475
Mailing Address - Fax:
Practice Address - Street 1:809 S VINE ST
Practice Address - Street 2:
Practice Address - City:CRESTON
Practice Address - State:IA
Practice Address - Zip Code:50801-3968
Practice Address - Country:US
Practice Address - Phone:641-202-1475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care