Provider Demographics
NPI:1669547568
Name:HAYES, ALOSHA LAJEANA (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:ALOSHA
Middle Name:LAJEANA
Last Name:HAYES
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROSS PLAINS
Mailing Address - State:TX
Mailing Address - Zip Code:76443-2581
Mailing Address - Country:US
Mailing Address - Phone:254-725-4311
Mailing Address - Fax:254-725-4313
Practice Address - Street 1:301 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSS PLAINS
Practice Address - State:TX
Practice Address - Zip Code:76443-2581
Practice Address - Country:US
Practice Address - Phone:254-725-4311
Practice Address - Fax:254-725-4313
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX606438363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX606438OtherLICENSE
TX00R82TMedicare ID - Type Unspecified