Haycraft, Linda

Haycraft, Linda is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Haycraft, Linda can be contacted via phone (314) 577-5600.

Contact Information

Primary practice address
1465 S Grand Blvd Saint Louis MO 63104-1003
Fax: (314) 268-6468
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 070958 Missouri

Profile Details

NPI number 1134317076
LBN Legal business name Haycraft, Linda
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Oct 4th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134317076 NPPES
Missouri Other 070958 MEDICAL LICENSE

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