Provider Demographics
NPI:1952903981
Name:HAYES, PAULA JOANN
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:JOANN
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 HIGH ST NE
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:43140-9653
Mailing Address - Country:US
Mailing Address - Phone:614-578-6391
Mailing Address - Fax:
Practice Address - Street 1:73 HIGH ST NE
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-9653
Practice Address - Country:US
Practice Address - Phone:614-578-6391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide