Provider Demographics
NPI:1487525689
Name:HAYES, INGRID NICOLE NAKITA
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:NICOLE NAKITA
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3723 GRIGG DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-6137
Mailing Address - Country:US
Mailing Address - Phone:248-797-1657
Mailing Address - Fax:
Practice Address - Street 1:58206 THOMAS DR
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:MI
Practice Address - Zip Code:48048-3325
Practice Address - Country:US
Practice Address - Phone:248-797-1657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIH200339630505374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide