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Individual

HALEY LYNNE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8260 FLANNIGAN MILL RD, MECHANICSVILLE, VA 23111-6060
(703) 597-1160
Mailing address
8260 FLANNIGAN MILL RD, MECHANICSVILLE, VA 23111-6060
(703) 597-1160

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001276712
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024194613
VA

Other

Enumeration date
10/07/2024
Last updated
11/24/2025
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