Provider Demographics
NPI:1578699849
Name:HAYS, TRYSTA (BA)
Entity Type:Individual
Prefix:MS
First Name:TRYSTA
Middle Name:
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 1:1711 3RD ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-0714
Mailing Address - Country:US
Mailing Address - Phone:707-269-2375
Mailing Address - Fax:707-269-2378
Practice Address - Street 1:1711 THIRD STREET
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501
Practice Address - Country:US
Practice Address - Phone:707-269-2375
Practice Address - Fax:707-269-2378
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator