Provider Demographics
NPI:1659955730
Name:HAYES, VERLENA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:VERLENA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:SCHRIEVER
Mailing Address - State:LA
Mailing Address - Zip Code:70395-0035
Mailing Address - Country:US
Mailing Address - Phone:985-791-6342
Mailing Address - Fax:
Practice Address - Street 1:482 LAKE LONG DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-4616
Practice Address - Country:US
Practice Address - Phone:985-791-6342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA113184163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty