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NPI Code Detail

MEDICARE: RONISHA L HAYNES RN

MEDICARE: RONISHA L HAYNES RN
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
1163WH0200XHome Health Registered Nurse411823OH
2163W00000XRegistered Nurse411823OH

General Provider Information

NPI Number : 1508133315
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONISHA L HAYNES RN
Provider Business Mailing Address
First Line : 5969 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-2907
Country : US
Telephone Number : 614-362-4404
Fax Number : 614-347-0831
Provider Business Practice Location Address
First Line : 5969 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-2907
Country : US
Telephone Number : 614-362-4404
Fax Number : 614-347-0831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2011
Last Update Date : 04/05/2021

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Directions to “ RONISHA L HAYNES RN” Practice Location

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