Provider Demographics
NPI:1982123113
Name:HAYES, AMBER FREER (LVN)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:FREER
Last Name:HAYES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:CARSON
Other - Last Name:FREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:2001 28TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1924
Mailing Address - Country:US
Mailing Address - Phone:661-868-6600
Mailing Address - Fax:661-861-1428
Practice Address - Street 1:2001, 28TH STREET
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-868-6600
Practice Address - Fax:661-861-1428
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN250989164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse