Individual
MRS. CORDELIA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4201 MITCHELLVILLE RD STE 102, BOWIE, MD 20716-3175
(301) 262-5900
(410) 741-0865
Mailing address
7580 BUCKINGHAM BLVD STE 220, HANOVER, MD 21076-3210
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022010576
MD
Other
Enumeration date
08/18/2022
Last updated
01/04/2023
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