Individual
ELIZABETH HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1201 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87131-4597
(505) 272-4946
(505) 925-0100
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
CNP-03490
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-03490
NM
Other
Enumeration date
02/06/2018
Last updated
03/18/2025
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