MEDICARE: SUSAN HAYES 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	363LF0000X	Family Nurse Practitioner	155930	MA

General Provider Information

NPI Number	:	1578877957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN HAYES NP

Provider Business Mailing Address
First Line	:	320 CENTRAL ST
Second Line	:
City	:	SAUGUS
State	:	MA
Zip	:	01906-2371
Country	:	US
Telephone Number	:	781-233-1450
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 CENTRAL ST
Second Line	:
City	:	SAUGUS
State	:	MA
Zip	:	01906-2371
Country	:	US
Telephone Number	:	781-233-1450
Fax Number	:

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

Provider Enumeration Date	:	07/28/2010
Last Update Date	:	07/28/2010

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