Individual
DANA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 280-0828
Mailing address
105 PARKVIEW CT, TROY, IL 62294-1323
(314) 280-0828
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
2005024777
MO
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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