Individual
BEA HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
426 WEST AVE, RED WING, MN 55066-2473
(651) 385-6120
(651) 267-4882
Mailing address
426 WEST AVE, RED WING, MN 55066-2473
(651) 385-6120
(651) 267-4882
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R 101862-2
MN
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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