Provider Demographics
NPI:1902480197
Name:HAYS, MARJORIE GAYLE (APRN)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:GAYLE
Last Name:HAYS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 SPRING DR
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6381
Mailing Address - Country:US
Mailing Address - Phone:501-908-3098
Mailing Address - Fax:
Practice Address - Street 1:32 SPRING DR
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6381
Practice Address - Country:US
Practice Address - Phone:501-908-3098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR214954207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine