Healthcare Provider Details

I. General information

NPI: 1336480953
Provider Name (Legal Business Name): COLELISA FRANSINE HAYES APRN-CNP, FNC-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 E LIVINGSTON AVE
COLUMBUS OH
43205-3020
US

IV. Provider business mailing address

474 N OHIO AVE
COLUMBUS OH
43203-1140
US

V. Phone/Fax

Practice location:
  • Phone: 614-429-8731
  • Fax:
Mailing address:
  • Phone: 614-376-3462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0038107
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN387726
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: