Individual
SHASTA NICHOLE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
233 S WACKER DR STE 800, CHICAGO, IL 60606-6415
(772) 453-6731
Mailing address
1025 18TH PL SW, VERO BEACH, FL 32962-6919
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11042236
FL
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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