Provider Demographics
NPI:1487830311
Name:SITES, ALISON HAYES (CNP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:HAYES
Last Name:SITES
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CAREN AVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2515
Mailing Address - Country:US
Mailing Address - Phone:614-846-1527
Mailing Address - Fax:614-846-1704
Practice Address - Street 1:55 CAREN AVE
Practice Address - Street 2:SUITE 170
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2515
Practice Address - Country:US
Practice Address - Phone:614-846-1527
Practice Address - Fax:614-846-1704
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.09722-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2872600Medicaid
OHNP37251Medicare PIN