Healthcare Provider Details

I. General information

NPI: 1356679674
Provider Name (Legal Business Name): DONNA LYNN HAYES RN, CD(DONA), CLEC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2009
Last Update Date: 11/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6803 ADOLPHIA DR
CARLSBAD CA
92011-5012
US

IV. Provider business mailing address

6803 ADOLPHIA DR
CARLSBAD CA
92011-5012
US

V. Phone/Fax

Practice location:
  • Phone: 760-212-7227
  • Fax:
Mailing address:
  • Phone: 760-212-7227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number305772
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: