National Provider Identifier
Rusty Mae Hakes, LPN
Rusty Mae Hakes, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Corning, NY and a listed phone number of (607) 962-0247.
Profile Overview
- NPI
- 1366725095
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 20, 2011
- Last Updated
- September 20, 2011
Practice Location
- 88 Tioga Ave
- Corning, NY 14830-2858
Phone: (607) 962-0247
Mailing Address
- 24 W Hazel St
- Corning, NY 14830-1936
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1366725095
- Entity Type
- Individual
- Last Name
- Hakes
- First Name
- Rusty
- Middle Name
- Mae
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 24 W Hazel St
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-1936
- Mailing Country
- US
- Mailing Phone
- (607) 377-5563
- Practice Street Address
- 88 Tioga Ave
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2858
- Practice Country
- US
- Practice Phone
- (607) 962-0247
- Enumeration Date
- September 20, 2011
- Last Updated
- September 20, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)