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NPI Code Detail

MEDICARE: ANDREA NICOLE HAYES PA-C

MEDICARE: ANDREA NICOLE HAYES PA-C
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
1363A00000XPhysician Assistant50002221OH

General Provider Information

NPI Number : 1306964564
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA NICOLE HAYES PA-C
Provider Business Mailing Address
First Line : PO BOX 378
Second Line :
City : SANDUSKY
State : OH
Zip : 44871-0378
Country : US
Telephone Number : 419-609-1112
Fax Number : 419-609-1123
Provider Business Practice Location Address
First Line : 1479 N RIVER RD
Second Line :
City : FREMONT
State : OH
Zip : 43420-9760
Country : US
Telephone Number : 419-355-9440
Fax Number : 419-355-9443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 11/03/2023

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Directions to “ ANDREA NICOLE HAYES PA-C” Practice Location

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