Healthcare Provider Details

I. General information

NPI: 1669905725
Provider Name (Legal Business Name): MAUREEN LYNN HAYES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 FALSTAFF RD
RALEIGH NC
27610-1813
US

IV. Provider business mailing address

300 VEAZEY DR
BUTNER NC
27509-1668
US

V. Phone/Fax

Practice location:
  • Phone: 919-445-0401
  • Fax: 919-445-0835
Mailing address:
  • Phone: 919-764-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2021-02524
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: