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NPI Code Detail

MEDICARE: MICHELE J HAINES RN

MEDICARE: MICHELE J HAINES RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN234156OH

General Provider Information

NPI Number : 1285604314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE J HAINES RN
Provider Business Mailing Address
First Line : PO BOX 817
Second Line :
City : WEST LIBERTY
State : OH
Zip : 43357-0817
Country : US
Telephone Number : 937-465-8065
Fax Number : 937-465-3505
Provider Business Practice Location Address
First Line : 1521 N DETROIT ST
Second Line :
City : WEST LIBERTY
State : OH
Zip : 43357-0817
Country : US
Telephone Number : 937-465-8065
Fax Number : 937-465-3505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 07/08/2007

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Directions to “ MICHELE J HAINES RN” Practice Location

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