Individual
BRYAN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP151074
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679958946
—
ME
Enumeration date
07/28/2015
Last updated
04/24/2017
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