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Individual
MRS. WANDA MARIE HAYNES
Active
Individual
MRS. WANDA MARIE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
111047
NE
363LF0000X
Family Nurse Practitioner
Primary
2019040422
MO
363LF0000X
Family Nurse Practitioner
726951
TX
363LF0000X
Family Nurse Practitioner
A-123907
IA
363LF0000X
Family Nurse Practitioner
AP07135
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47428
BCBS NE
NE
Enumeration date
07/31/2007
Last updated
12/11/2023
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