Individual
SANDRA JEAN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
251 COUNTY ROAD 120, SAINT CLOUD, MN 56303-4872
(320) 202-8949
Mailing address
251 COUNTY ROAD 120, SAINT CLOUD, MN 56303-4872
(320) 202-8949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R113575-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730440504
—
MN
Enumeration date
06/07/2012
Last updated
10/18/2012
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