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Individual

CHERYL HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN32050
RI
363L00000X
Nurse Practitioner
NP37125
RI
363LA2200X
Adult Health Nurse Practitioner
Primary
NPP37125
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000029629
RI BLUE CROSS PROVIDER #
RI
01
412667
RI BLUE CHIP PROVIDER #
RI
Enumeration date
01/25/2007
Last updated
11/02/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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