Individual
DR. CHRISTOPHER P HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
640 JACKSON ST, MAIL STOP 11302C, ST. PAUL, MN 55101-2502
(651) 254-4786
(651) 254-9426
Mailing address
8170 33RD AVE S, MAIL STOP 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-2300
(651) 254-2301
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
900422
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
R165377-3
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R165377-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007796
MEDIPAC
—
05
—
906415000
—
MN
01
—
HP 48953
HEALTHPARTNERS
MN
01
—
P00184086
RAILROAD MEDICARE
NC
Enumeration date
10/22/2005
Last updated
07/09/2015
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