Provider Demographics
NPI:1669495651
Name:HAYS, RITA (APRN)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:HAYS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 W FAIDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-4678
Mailing Address - Country:US
Mailing Address - Phone:308-398-5450
Mailing Address - Fax:308-398-5351
Practice Address - Street 1:2116 W FAIDLEY AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4678
Practice Address - Country:US
Practice Address - Phone:308-398-5450
Practice Address - Fax:308-398-5351
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110575207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025001100Medicaid
NEP93062Medicare UPIN
NE10025001100Medicaid
NE276764Medicare UPIN