Individual
ALYSSA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6405 FRANCE AVE S, EDINA, MN 55435-2163
(952) 920-2730
Mailing address
4440 COLORADO ST SE, PRIOR LAKE, MN 55372-2414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2530531
MN
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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