Individual
AMY NICOLE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
1415 WALNUT GROVE RD, BENTON, KY 42025-4822
(702) 443-2357
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
155442
KY
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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