Healthcare Provider Details

I. General information

NPI: 1487830311
Provider Name (Legal Business Name): ALISON HAYES SITES CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 04/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CAREN AVE SUITE 170
WORTHINGTON OH
43085-2515
US

IV. Provider business mailing address

55 CAREN AVE SUITE 170
WORTHINGTON OH
43085-2515
US

V. Phone/Fax

Practice location:
  • Phone: 614-846-1527
  • Fax: 614-846-1704
Mailing address:
  • Phone: 614-846-1527
  • Fax: 614-846-1704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA.09722-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: