Individual
KRISTINA LYNNE HAYDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4974 VICTORIA ST, BARATARIA, LA 70036-5708
(504) 689-4222
Mailing address
4974 VICTORIA ST, BARATARIA, LA 70036-5708
(504) 689-4222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
70028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70028
STATE LICENSURE
LA
Enumeration date
05/02/2007
Last updated
07/08/2007
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