Individual
MRS. REBECCA KAYE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
104 E SHURDEN INDUSTRIAL BLVD, HENRYETTA, OK 74437-7323
(918) 652-9614
Mailing address
16224 FISHMARKET RD, MCLOUD, OK 74851-9345
(405) 201-1389
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0058354
OK
Other
Enumeration date
10/19/2016
Last updated
06/15/2019
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