Healthcare Provider Details

I. General information

NPI: 1467786418
Provider Name (Legal Business Name): CATHERINE ANN HAYES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE ANN WALCZAK PA-C

II. Dates (important events)

Enumeration Date: 09/23/2009
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 E BOULDER ST STE 101
COLORADO SPRINGS CO
80909-5740
US

IV. Provider business mailing address

1725 E BOULDER ST STE 101
COLORADO SPRINGS CO
80909-5740
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-6300
  • Fax: 719-365-6094
Mailing address:
  • Phone: 702-579-3203
  • Fax: 719-365-6094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0003355
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: