Individual
KANDICE DANIELLE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
511 E 1ST ST, CHANDLER, OK 74834-2439
(405) 654-0013
(405) 654-0012
Mailing address
511 E 1ST ST, CHANDLER, OK 74834-2439
(405) 654-0013
(405) 654-0012
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
205816
OK
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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