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NPI Code Detail

MEDICARE: MICHAELA ANNE HAYNES-KADDY C.N.P.

MEDICARE:   MICHAELA ANNE HAYNES-KADDY  C.N.P.
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
1363L00000XNurse Practitioner258412MA

General Provider Information

NPI Number : 1992114458
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA ANNE HAYNES-KADDY C.N.P.
Provider Business Mailing Address
First Line : 50 MEMORIAL DR
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-2238
Country : US
Telephone Number : 978-534-4241
Fax Number : 978-534-3705
Provider Business Practice Location Address
First Line : 50 MEMORIAL DR STE 205
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-2238
Country : US
Telephone Number : 978-534-4241
Fax Number : 978-534-3705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2014
Last Update Date : 03/03/2026

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Directions to “ MICHAELA ANNE HAYNES-KADDY C.N.P.” Practice Location

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