Individual
CHARITY A HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
115 S PARK AVE, EAGLE GROVE, IA 50533-2219
(515) 448-5185
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3909
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A-094133
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-094133
LICENSE
IA
Enumeration date
08/31/2006
Last updated
12/22/2016
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