Individual
MRS. MICHELLE MARIE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9101 BRIDGEPORT WAY SW, STE A, LAKEWOOD, WA 98499-2419
(253) 565-7686
(253) 566-0210
Mailing address
9101 BRIDGEPORT WAY SW, STE A, LAKEWOOD, WA 98499-2419
(253) 565-7686
(253) 566-0210
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30003701
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9625989
—
WA
Enumeration date
10/03/2005
Last updated
07/02/2021
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