Haynes, Susan Craig
Haynes, Susan Craig is an individual health care provider with primary practice located at 3215 Steck Ave Suite 200, Austin TX 78757-7566. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Haynes, Susan Craig can be contacted via phone (512) 476-3556.Contact Information
Primary practice address
3215 Steck Ave Suite 200
Austin TX 78757-7566
Phone: (512) 476-3556
Fax: (512) 476-0195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 570847 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 570847 | Texas |
Profile Details
NPI number | 1922005545 |
---|---|
LBN Legal business name | Haynes, Susan Craig |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2005 |
Last updated | Jun 26th, 2012 - about 13 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 | 1922005545 | NPPES |
Texas | MEDICAID | 0928954-03 |
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