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NPI Code Detail

MEDICARE: PATRICIA HAYNES

MEDICARE:   PATRICIA  HAYNES
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1467258715
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA HAYNES
Provider Business Mailing Address
First Line : 6402 N 42ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-1030
Country : US
Telephone Number : 402-212-7215
Fax Number :
Provider Business Practice Location Address
First Line : 6402 N 42ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-1030
Country : US
Telephone Number : 402-212-7215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2025
Last Update Date : 02/19/2025

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Directions to “ PATRICIA HAYNES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.