Provider Demographics
NPI:1629516646
Name:HAYES, LOREN MICHELLE (NP)
Entity type:Individual
Prefix:MS
First Name:LOREN
Middle Name:MICHELLE
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 1:600 NE ADAMS DAIRY PKWY
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-5493
Mailing Address - Country:US
Mailing Address - Phone:816-932-4630
Mailing Address - Fax:816-932-4631
Practice Address - Street 1:600 NE ADAMS DAIRY PKWY STE 130
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-5494
Practice Address - Country:US
Practice Address - Phone:816-932-4630
Practice Address - Fax:816-932-4631
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-134583-111163WE0003X
MO2010002288163WE0003X
MO2017032429363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency