Healthcare Provider Details

I. General information

NPI: 1841292638
Provider Name (Legal Business Name): VALERIE J HAY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 W MASON ST
GREEN BAY WI
54303-4966
US

IV. Provider business mailing address

622 BODART ST
GREEN BAY WI
54301-4923
US

V. Phone/Fax

Practice location:
  • Phone: 920-437-9787
  • Fax: 920-498-5415
Mailing address:
  • Phone: 920-940-8034
  • Fax: 920-437-0984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number68301
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number57149-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: