Provider Demographics
NPI:1104606623
Name:AMES, HAYLEY P (PA-C)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:P
Last Name:AMES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:
Other - Last Name:PINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:206-639-0089
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:801 N ORANGE AVE STE 520
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-5202
Practice Address - Country:US
Practice Address - Phone:407-992-0660
Practice Address - Fax:407-992-7702
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant