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Individual

ALICE K. HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
368 FAUNCE CORNER ROAD, NORTH DARTMOUTH, MA 02747-1271
(508) 985-5014
(508) 985-5045
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00590
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007009188
RI MEDICARE
RI
05
0377040
MA
01
12/14/2006
NHPRI
RI
01
1952315897
NPI
RI
01
30334-5
BLUECHIP
RI
01
400771
BCBSRI
RI
01
500020184
RAILROAD MEDICARE
RI
05
7009188
RI
01
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
07/28/2006
Last updated
05/21/2015
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