Doctor Name: | ALYSHA MARIE HAINES |
NPI Number: | 1013322163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 76471 |
Business Practice Address: | 537 S Freeborn St Marion, KS - 668611243 |
Business Phone Number: | 6203822033 |
Business Fax Number: | 6203823851 |
Mailing Address: | 535 S Freeborn St, MARION |
State: | KS |
Postal Code: | 668611256 |
Phone Number: | 6203822033 |
Fax Number: | 6203823851 |
NPI Enumeration Date: | 06/27/2014 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 76471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |