| Doctor Name: | MS. NICOLE HASKINS |
| NPI Number: | 1851344097 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CRNP |
| License Number: | R171119 |
| Business Practice Address: | 6400 Marlboro Pike District Heights, MD - 207472841 |
| Business Phone Number: | 3017367000 |
| Business Fax Number: | 3017366916 |
| Mailing Address: | 6400 Marlboro Pike, DISTRICT HEIGHTS |
| State: | MD |
| Postal Code: | 207472841 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 08/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R171119 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |