Healthcare Provider Details
I. General information
NPI: 1538084256
Provider Name (Legal Business Name): THOMAS HAYES FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1240 E 100 S STE 14
ST GEORGE UT
84790-3005
US
IV. Provider business mailing address
2681 E GRAY BIRCH DR
ST GEORGE UT
84790-1891
US
V. Phone/Fax
- Phone: 435-628-8232
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 11758490-4405 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: