Individual
SUSAN CRAIG HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
3215 STECK AVE, SUITE 200, AUSTIN, TX 78757-7566
(512) 476-3556
(512) 476-0195
Mailing address
3215 STECK AVE, SUITE 200, AUSTIN, TX 78757-7566
(512) 476-3556
(512) 476-0195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
570847
TX
363LG0600X
Gerontology Nurse Practitioner
570847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928954-03
—
TX
Enumeration date
06/29/2005
Last updated
06/26/2012
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