Haynie, Keith Bryan

Haynie, Keith Bryan is an individual health care provider with primary practice located at 206 S Coronado Ave , Espanola NM 87532-2792. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Haynie, Keith Bryan can be contacted via phone (860) 788-6404.

Contact Information

Primary practice address
206 S Coronado Ave Espanola NM 87532-2792
Phone: (860) 788-6404
Fax: (860) 398-6441
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R45728 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP01098 New Mexico

Profile Details

NPI number 1033355284
LBN Legal business name Haynie, Keith Bryan
Credentials DNP, RN, CFNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2008
Last updated Apr 30th, 2024 - about 7 months 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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