MEDICARE: DONNA HAYES RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	177432	MA

General Provider Information

NPI Number	:	1548649312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA HAYES RN

Provider Business Mailing Address
First Line	:	663 EAST ST
Second Line	:
City	:	WRENTHAM
State	:	MA
Zip	:	02093-1132
Country	:	US
Telephone Number	:	508-813-1604
Fax Number	:

Provider Business Practice Location Address
First Line	:	663 EAST ST
Second Line	:
City	:	WRENTHAM
State	:	MA
Zip	:	02093-1132
Country	:	US
Telephone Number	:	508-813-1604
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2015
Last Update Date	:	05/26/2015

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Directions to “ DONNA HAYES RN” Practice Location

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