Healthcare Provider Details

I. General information

NPI: 1023946696
Provider Name (Legal Business Name): JULIE DIANE HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 BELL ST STE 104
RENO NV
89503-5349
US

IV. Provider business mailing address

255 BELL ST STE 104
RENO NV
89503-5349
US

V. Phone/Fax

Practice location:
  • Phone: 702-461-4603
  • Fax:
Mailing address:
  • Phone: 702-461-4603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License NumberE54409462026-5
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: