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Individual

CAROLYN G HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
540 S COLLEGE AVE, SUITE 130, NEWARK, DE 19713-1302
(302) 831-3195
(302) 831-3193
Mailing address
540 S COLLEGE AVE, SUITE 130, NEWARK, DE 19713-1302
(302) 831-3195
(302) 831-3193

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG0000498
DE
363LF0000X
Family Nurse Practitioner
Primary
LG0000498
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LG0000498
DE NP LICENSE
DE
Enumeration date
07/07/2009
Last updated
04/02/2015
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