Provider Demographics
NPI:1487860102
Name:HAYES, ANNMARIE (RN-C, NP)
Entity Type:Individual
Prefix:MISS
First Name:ANNMARIE
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:RN-C, NP
Other - Prefix:MISS
Other - First Name:ANNMARIE
Other - Middle Name:
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN-C, MSN
Mailing Address - Street 1:14 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-5116
Mailing Address - Country:US
Mailing Address - Phone:781-245-7337
Mailing Address - Fax:
Practice Address - Street 1:1395 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-1768
Practice Address - Country:US
Practice Address - Phone:800-973-3009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA198066363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner