Healthcare Provider Details

I. General information

NPI: 1801123831
Provider Name (Legal Business Name): CINDY HAINES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2009
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 US HIGHWAY 42 W
WARSAW KY
41095
US

IV. Provider business mailing address

THE LITTLE CLINIC 300 BRIGHTON PARK
FRANKFORT KY
40601
US

V. Phone/Fax

Practice location:
  • Phone: 859-567-1591
  • Fax: 859-567-1253
Mailing address:
  • Phone: 502-848-5904
  • Fax: 859-567-1253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3006313
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number3006313
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: