Individual
HALEY M LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 KNICKERBOCKER AVE, BROOKLYN, NY 11237-3888
(718) 765-6056
Mailing address
PO BOX 746087, ATLANTA, GA 30374-6087
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310474
NY
363LP2300X
Primary Care Nurse Practitioner
9052
CT
Other
Enumeration date
07/31/2020
Last updated
11/12/2024
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