# ANGELA SUE HAYES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609016997
- **Gender:** F
- **Credential:** ATC, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | 050302104 | IN | — |
| 363A00000X | Physician Assistant | 10002758A | IN | Yes |
| 363A00000X | Physician Assistant | 20206 | CA | — |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 02/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 090540457 | MEDICARE | IN |
| 05 | — | 100167000 | — | IN |
| 01 | — | Q00263580 | RAILROAD MEDICARE | IN |