Individual
MARY RUTH HAYES I
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1030 COUNTY ROAD E W, SUITE 200, SHOREVIEW, MN 55126-8152
(651) 490-0433
(651) 490-4568
Mailing address
1030 COUNTY ROAD E W, SUITE 200, SHOREVIEW, MN 55126-8152
(651) 490-0433
(651) 490-4568
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R-121812-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-02128
MEDICA
MN
01
—
50D77HA
BLUECROSS/BLUESHIELD
MN
05
—
75701800
—
MN
01
—
NA3481001497
PREFERRED ONE
FM
Enumeration date
12/28/2005
Last updated
07/08/2007
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