MEDICARE: JOANNE B HAYES FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	101-0029454	VT
2	363LF0000X	Family Nurse Practitioner	052157-23	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033114921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE B HAYES FNP

Provider Business Mailing Address
First Line	:	80 LYME ROAD
Second Line	:	KENDAL AT HANOVER
City	:	HANOVER
State	:	NH
Zip	:	03755
Country	:	US
Telephone Number	:	603-643-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 LYME ROAD
Second Line	:	KENDAL AT HANOVER
City	:	HANOVER
State	:	NH
Zip	:	03755
Country	:	US
Telephone Number	:	603-643-8900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	10/08/2015

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