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NPI Code Detail

MEDICARE: MISS NAKIA M HAYNES LPN

MEDICARE:  MISS NAKIA M HAYNES  LPN
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
1164W00000XLicensed Practical NursePN112338OH

General Provider Information

NPI Number : 1417163320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NAKIA M HAYNES LPN
Provider Business Mailing Address
First Line : 3359 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1134
Country : US
Telephone Number : 419-290-7920
Fax Number :
Provider Business Practice Location Address
First Line : 3359 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1134
Country : US
Telephone Number : 419-290-7920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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Directions to “ MISS NAKIA M HAYNES LPN” Practice Location

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