Trinda Lee Hayes, LPN

Individual provider Active NPI Licensed Practical Nurse · Barneveld, NY

NPI 1285820928 · NPPES record last updated Sep 17, 2007

Key facts

NPI
1285820928
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2085331 (NY)
Practice address
31 Redmond Road
Barneveld, NY 13304
Phone
(315) 896-4225
NPI assigned
Sep 17, 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

State licenses

LicenseStateTypeSpecialty
2085331NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2085331 NY Yes

Addresses

Primary practice location

31 Redmond Road
Barneveld, NY 13304

Mailing address

9574 N Steuben Rd
Apt 2
Remsen, NY 13438-4651
Phone (315) 865-5621

Other identifiers

IdentifierTypeStateIssuer
02666833MedicaidNY

Other names

  • Ms. Trinda Lee Jantzi Other name

Other providers in Barneveld, NY

All providers in Barneveld, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.