Doctor Name: | MS. DOROTHEA JOAN HAINES |
NPI Number: | 1699984559 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN194696L |
Business Practice Address: | 714 N Bethlehem Pike Suite 300 Lower Gwynedd, PA - 190022655 |
Business Phone Number: | 2152832833 |
Business Fax Number: | |
Mailing Address: | 2033 Ripley St, PHILADELPHIA |
State: | PA |
Postal Code: | 191523208 |
Phone Number: | 2153427165 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1600X |
License Number: | RN194696L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Continuing Education/Staff Development |
Taxonomy Definition: |