Provider Demographics
NPI:1538217880
Name:HAYS, JULIE W (LPN)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:W
Last Name:HAYS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 BETHEL RD
Mailing Address - Street 2:#108
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1903
Mailing Address - Country:US
Mailing Address - Phone:614-374-1638
Mailing Address - Fax:614-889-1774
Practice Address - Street 1:829 BETHEL RD
Practice Address - Street 2:#108
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1903
Practice Address - Country:US
Practice Address - Phone:614-374-1638
Practice Address - Fax:614-889-1774
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN092924164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2407970Medicaid