Merlin, Camille Haynes
Merlin, Camille Haynes is an sole proprietor health care provider with primary practice located at 2907 Pleasant Valley Blvd , Altoona PA 16602-4305. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Merlin, Camille Haynes can be contacted via phone (814) 943-8164.Contact Information
Primary practice address
2907 Pleasant Valley Blvd
Altoona PA 16602-4305
Phone: (814) 943-8164
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 4704275829 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 4704275829 | Michigan |
Profile Details
NPI number | 1730645276 |
---|---|
LBN Legal business name | Merlin, Camille Haynes |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 20th, 2019 |
Last updated | Feb 20th, 2019 - about 6 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 | 1730645276 | NPPES |
Other | 2017028390 | ANCC | |
Other | 4704275829 | ANCC |
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