Provider Demographics
NPI:1699188979
Name:HAYES, AMANDA
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ARBOR CIR
Mailing Address - Street 2:APT 828
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-5810
Mailing Address - Country:US
Mailing Address - Phone:513-448-9899
Mailing Address - Fax:
Practice Address - Street 1:8 ARBOR CIR
Practice Address - Street 2:APT 828
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-5810
Practice Address - Country:US
Practice Address - Phone:513-448-9899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker