Healthcare Provider Details

I. General information

NPI: 1396793410
Provider Name (Legal Business Name): NANCY HAYS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOUNT AUBURN ST STE 410
CAMBRIDGE MA
02138-5600
US

IV. Provider business mailing address

300 MOUNT AUBURN ST STE 410
CAMBRIDGE MA
02138-5600
US

V. Phone/Fax

Practice location:
  • Phone: 617-868-2650
  • Fax: 617-868-2641
Mailing address:
  • Phone: 617-868-2650
  • Fax: 617-868-2641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number117423
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: