Andrea Lynn Hayes, RN

Individual provider Active NPI Registered Nurse · Beech Grove, IN

NPI 1164566162 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164566162
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
28048324A (IN)
Practice address
1500 Albany St
Suite 807
Beech Grove, IN 46107-1555
Phone
(317) 783-8921
Fax
(317) 782-6916
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28048324AINMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28048324A IN Yes

Addresses

Primary practice location

1500 Albany St
Suite 807
Beech Grove, IN 46107-1555

Mailing address

PO Box 664053
Indianapolis, IN 46266-4053
Phone (317) 783-8921

Other providers in Beech Grove, IN

All providers in Beech Grove, IN · Registered Nurse in Indiana

Sources for this page

Verify at the official NPI Registry.