Provider Demographics
NPI:1891189726
Name:HAYES, CARLA RENEE (ARNP-CNP)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:RENEE
Last Name:HAYES
Suffix:
Gender:F
Credentials:ARNP-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24891 HIGHWAY 82
Mailing Address - Street 2:
Mailing Address - City:PARK HILL
Mailing Address - State:OK
Mailing Address - Zip Code:74451-4089
Mailing Address - Country:US
Mailing Address - Phone:918-931-1321
Mailing Address - Fax:
Practice Address - Street 1:24891 HIGHWAY 82
Practice Address - Street 2:
Practice Address - City:PARK HILL
Practice Address - State:OK
Practice Address - Zip Code:74451-4089
Practice Address - Country:US
Practice Address - Phone:918-931-1321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-28
Last Update Date:2015-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK91705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily