Basic Information
Provider Information
NPI: 1922132646
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAYES
FirstName: CHRISTINE
MiddleName: L
NamePrefix: MS.
NameSuffix:  
Credential: RNFA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PARIS
OtherFirstName: CHRISTINE
OtherMiddleName: L
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: RN
OtherLastNameType: 1
Mailing Information
Address1: 805 MADISON ST
Address2: SUITE 901
City: SEATTLE
State: WA
PostalCode: 981041172
CountryCode: US
TelephoneNumber: 2062648100
FaxNumber: 2062648689
Practice Location
Address1: 1100 PACIFIC AVE
Address2: SUITE 300
City: EVERETT
State: WA
PostalCode: 982014261
CountryCode: US
TelephoneNumber: 4253392433
FaxNumber: 4253398273
Other Information
ProviderEnumerationDate: 03/15/2007
LastUpdateDate: 06/05/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WM0705XRN00042373WAY Nursing Service ProvidersRegistered NurseMedical-Surgical

No ID Information.


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