Individual
STEPHANIE J HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1111 S 2ND AVE, WALLA WALLA, WA 99362-4118
(509) 897-3700
(509) 897-5575
Mailing address
PO BOX 32, LIBERTY LAKE, WA 99019-0032
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00171949
WA
363L00000X
Nurse Practitioner
Primary
AP61034032
WA
363LF0000X
Family Nurse Practitioner
AP61034032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147926
—
WA
Enumeration date
10/14/2019
Last updated
04/26/2023
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