MEDICARE: MISS ANNMARIE HAYES RN-C, NP

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	363L00000X	Nurse Practitioner	198066	MA

General Provider Information

NPI Number	:	1487860102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ANNMARIE HAYES RN-C, NP

Provider Business Mailing Address
First Line	:	14 WILSON AVE
Second Line	:
City	:	WAKEFIELD
State	:	MA
Zip	:	01880-5116
Country	:	US
Telephone Number	:	781-245-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	1395 N MAIN ST
Second Line	:
City	:	RANDOLPH
State	:	MA
Zip	:	02368-1768
Country	:	US
Telephone Number	:	800-973-3009
Fax Number	:

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/08/2007

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