NPI 1063420149 · live from the CMS NPI Registry
Mary Jane Hayes, RN, BSN, CDE
Registered Nurse, Diabetes Educator in Wahpeton, ND. National Provider Identifier 1063420149, active.
NPI record
| NPI | 1063420149 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 332 2nd Ave N, Wahpeton, ND 58075 |
| Practice phone | 701-642-7000 |
| Mailing address | 1388 17th Ave N, Wahpeton, ND 58075 |
| Enumerated | August 4, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | R31834 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.