Individual
AUDREY JO HAIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2355 W 136TH AVE, BROOMFIELD, CO 80023-9331
(303) 658-9827
(303) 658-9828
Mailing address
2355 W 136TH AVE, BROOMFIELD, CO 80023-9331
(216) 534-6484
(937) 382-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP05099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2496464
—
OH
Enumeration date
09/21/2005
Last updated
10/10/2014
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