Haynes, Loretta
Haynes, Loretta is an individual health care provider with primary practice located at 4371 E Lohman Ave , Las Cruces NM 88011-8255. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Haynes, Loretta can be contacted via phone (575) 532-8900.Contact Information
Primary practice address
4371 E Lohman Ave
Las Cruces NM 88011-8255
Phone: (575) 532-8900
Fax: (575) 532-8910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R49041 | New Mexico |
Profile Details
| NPI number | 1255397584 |
|---|---|
| LBN Legal business name | Haynes, Loretta |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Oct 26th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255397584 | NPPES |
| New Mexico | MEDICAID | O3930521 | |
| New Mexico | Other | NM006C08 |
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