Provider Demographics
NPI:1770507899
Name:HAYES, VIRGINIA MARY (MS)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:MARY
Last Name:HAYES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11415 OLD VIRGINIA RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8934
Mailing Address - Country:US
Mailing Address - Phone:775-328-1224
Mailing Address - Fax:
Practice Address - Street 1:11415 OLD VIRGINIA RD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8934
Practice Address - Country:US
Practice Address - Phone:775-328-1224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN00477363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health