Provider Demographics
NPI:1518751064
Name:HAYES, TION G (CNA)
Entity type:Individual
Prefix:
First Name:TION
Middle Name:G
Last Name:HAYES
Suffix:
Gender:X
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 14TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4191
Mailing Address - Country:US
Mailing Address - Phone:360-561-6255
Mailing Address - Fax:
Practice Address - Street 1:221 KENYON ST NW STE 202
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4581
Practice Address - Country:US
Practice Address - Phone:425-606-7954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA52035376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide