Provider Demographics
NPI:1194131383
Name:HAYES, BRENNA CLAIRE (MS, GC)
Entity type:Individual
Prefix:MRS
First Name:BRENNA
Middle Name:CLAIRE
Last Name:HAYES
Suffix:
Gender:F
Credentials:MS, GC
Other - Prefix:MISS
Other - First Name:BRENNA
Other - Middle Name:CLAIRE
Other - Last Name:MELLICKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, GC
Mailing Address - Street 1:2811 TIETON DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3761
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2903 W WALNUT
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902
Practice Address - Country:US
Practice Address - Phone:509-575-8160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS