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Individual

MRS. ANNE MARIE HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5 JOPLIN PL, CHARLESTON, WV 25303-2729
(304) 533-6718
(316) 281-3721
Mailing address
3785 RELIABLE PKWY, CHICAGO, IL 60686-0001

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
56168
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
71757
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000548268
ANTHEM BLUE CROSS BLUE SHIELD
KY
05
3810001588
WV
01
P00183612
RR MEDICARE
WV
Enumeration date
09/21/2006
Last updated
12/07/2023
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