Healthcare Provider Details

I. General information

NPI: 1598217499
Provider Name (Legal Business Name): KAYLA HAINES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2016
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 NW 13TH ST STE 2A
BOCA RATON FL
33486-2337
US

IV. Provider business mailing address

951 NW 13TH ST STE 2A
BOCA RATON FL
33486-2337
US

V. Phone/Fax

Practice location:
  • Phone: 561-247-0024
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9356512
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.1001937-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: