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Individual

LORETTA HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4371 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 532-8900
(575) 532-8910
Mailing address
4371 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 532-8900
(575) 532-8910

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R49041
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM006C08
BCBC
NM
05
O3930521
NM
Enumeration date
04/25/2006
Last updated
10/26/2016
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