Individual
MARICRUZ HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
123 MEDICAL DR, GUYMON, OK 73942-3606
(580) 338-3361
(580) 338-1021
Mailing address
1700 SW COLLEGE AVE, TOPEKA, KS 66621-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
221870
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/16/2023
Last updated
04/01/2025
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