Provider Demographics
NPI:1154578151
Name:HAYES, ROBYN M (CPNP)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:M
Last Name:HAYES
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:M
Other - Last Name:GRAVEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:25 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4015
Mailing Address - Country:US
Mailing Address - Phone:781-986-7800
Mailing Address - Fax:781-986-5656
Practice Address - Street 1:25 WARREN ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4015
Practice Address - Country:US
Practice Address - Phone:781-986-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273960363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics