Provider Demographics
NPI:1013304955
Name:HAYES, CHRISTIANNE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIANNE
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2897 BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1799
Mailing Address - Country:US
Mailing Address - Phone:757-484-7248
Mailing Address - Fax:757-484-8316
Practice Address - Street 1:2897 BRIDGE RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1799
Practice Address - Country:US
Practice Address - Phone:757-484-7248
Practice Address - Fax:757-484-8316
Is Sole Proprietor?:No
Enumeration Date:2015-04-17
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176030363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily