Individual
HELEN BERNICE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
115 UNIONVILLE INDIAN TRAIL RD W, SUITE A-1, INDIAN TRAIL, NC 28079-5583
(704) 234-2594
(855) 313-5068
Mailing address
PO BOX 79254, CHARLOTTE, NC 28271-7061
(704) 234-2594
(855) 313-5068
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201021
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005792
—
NC
Enumeration date
08/03/2006
Last updated
10/31/2016
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