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Tina Hayes

Licensed Practical Nurse in Lakewood, WA. Individual provider (NPI-1).

NPI number1053976142
StatusActive
Last updated in NPPESMay 5, 2019

Details

NPI
1053976142
Entity type
Individual (NPI-1)
Name
Tina Hayes
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2019
Last updated
May 5, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLP00054977WAYes

Practice location

9330 59th Ave Sw
Lakewood, WA 98499-2858

Phone 253-620-5015

Mailing address

9330 59th Ave Sw
Lakewood, WA 98499-2858

Phone 253-620-5015

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Lakewood, WA

All 105 Licensed Practical Nurse providers in Lakewood · All 3,440 providers in Lakewood

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