Provider Demographics
NPI:1538499025
Name:HAYES, CAROL J (CRNP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:HAYES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:J
Other - Last Name:CRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-270-2336
Mailing Address - Fax:717-639-2741
Practice Address - Street 1:717 S 8TH ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-6721
Practice Address - Country:US
Practice Address - Phone:717-270-2336
Practice Address - Fax:717-639-2741
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2580367OtherHIGHMARK BLUE SHIELD
MD973844OtherCAREFIRST MD BCBS
PA1598885OtherGATEWAY MEDICARE ASSURED
PAP00959016Medicare PIN
MD973844OtherCAREFIRST MD BCBS