Provider Demographics
NPI:1962489286
Name:HAYS, KAREN ELAINE (CNM, ARNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELAINE
Last Name:HAYS
Suffix:
Gender:F
Credentials:CNM, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5651 12TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2603
Mailing Address - Country:US
Mailing Address - Phone:206-527-9062
Mailing Address - Fax:
Practice Address - Street 1:5651 12TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2603
Practice Address - Country:US
Practice Address - Phone:206-527-9062
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003979367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0163812OtherL & I
WA9618562Medicaid
WA9618562Medicaid
WAAB33436Medicare ID - Type Unspecified