Individual
GRACE HAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14176
CT
363LF0000X
Family Nurse Practitioner
F343174
NY
Other
Enumeration date
07/17/2018
Last updated
01/07/2025
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