Doctor Name: | MS. LINDA G HAYNES |
NPI Number: | 1023162476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 164115 |
Business Practice Address: | 85 Herrick St The Lynch Building Beverly, MA - 019151790 |
Business Phone Number: | 9789212899 |
Business Fax Number: | 9789212968 |
Mailing Address: | 14 Pinehurst Dr, BOXFORD |
State: | MA |
Postal Code: | 019212418 |
Phone Number: | 9782730761 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 164115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |