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Individual
MISS TABITHA LYNN HAYNES
Active
Individual
MISS TABITHA LYNN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11004630
FL
363LF0000X
Family Nurse Practitioner
10118
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114683400
—
FL
05
—
69704741
—
CO
01
—
RM791
HFMG MA
FL
Enumeration date
10/01/2009
Last updated
09/11/2023
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