Provider Demographics
NPI:1437994852
Name:HAYES, EILEEN MARIE
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:MARIE
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40597 WESTLAKE DR
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-9024
Mailing Address - Country:US
Mailing Address - Phone:559-683-5300
Mailing Address - Fax:559-683-5303
Practice Address - Street 1:40597 WESTLAKE DR
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9024
Practice Address - Country:US
Practice Address - Phone:559-683-5300
Practice Address - Fax:559-683-5303
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA482166163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management