Individual
MRS. BETTINA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9016 LAKE PLACE LN, TAMPA, FL 33634-1096
(813) 886-9174
Mailing address
9016 LAKE PLACE LN, TAMPA, FL 33634-1096
(813) 886-9174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9197236
FL
Other
Enumeration date
09/26/2013
Last updated
06/09/2014
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