Individual
CAROL J HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
717 S 8TH ST, LEBANON, PA 17042-6721
(717) 270-2336
(717) 639-2741
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 270-2336
(717) 639-2741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010652
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598885
GATEWAY MEDICARE ASSURED
PA
01
—
2580367
HIGHMARK BLUE SHIELD
PA
01
—
973844
CAREFIRST MD BCBS
MD
Enumeration date
01/05/2010
Last updated
11/09/2021
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