Most Relevant Information
Provider Data
  | NPI Number: | 1003346131 | 
| Provider Name: | HEATHER MARIE HAYES | 
| Entity Type: | Individual | 
| Taxonomy Code: | 164W00000X | 
| Specialty: | Licensed Practical Nurse | 
| License Number: | 123814 | 
Most Important Dates
  | Enumeration Date: | 06/12/2017 | 
| Last Updated: | 07/21/2022 | 
Provider Practice Location
  38882 MENTOR AVE.
      
      WILLOUGHBY
      OH
      44094
  Practice Location Phone/Fax
      | Phone: | 4409539999 | 
| Fax: | 
Provider Mailing Location
  38882 MENTOR AVE
      
      WILLOUGHBY
      OH
      440947875
  Provider Mailing Phone/Fax
      | Phone: | 4409539999 | 
| Fax: |