Dr. Keith B Haynie, DNP, RN, CFNP
Nurse Practitioner, Psych/Mental Health in Espanola, New Mexico
1033355284- Practice location
- 206 S Coronado Ave, Espanola, NM 87532-2792
- Phone
- 860-788-6404
- Fax
- 860-398-6441
- Last updated
- April 30, 2024
Keith Bryan Haynie is a Nurse Practitioner, Psych/Mental Health based in Espanola, NM. Keith Bryan Haynie practices in Espanola, NM and has the professional credentials of DNP, RN, CFNP. The NPI Number for Keith Bryan Haynie is 1033355284 and holds a License No. R45728 (NM). The current practice location address for Keith Bryan Haynie is 206 S Coronado Ave, Espanola, NM 87532-2792 and can be reached out via phone at 860-788-6404 and via fax at 860-398-6441.
Provider Profile Details
- NPI Number
- 1033355284
- Provider Name
- Keith Bryan Haynie
- Credential
- DNP, RN, CFNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 206 S Coronado Ave, Espanola, NM 87532-2792
- Phone Number
- 860-788-6404
- Fax Number
- 860-398-6441
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 17, 2008
- Last Update Date
- April 30, 2024
- Certification Date
- April 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 206 S Coronado Ave
Espanola, NM 87532-2792 - City
- Espanola
- State
- New Mexico
- Zip
- 87532-2792
- Phone Number
- 860-788-6404
- Fax Number
- 860-398-6441
Provider Business Mailing Address Details
- Address
- Po Box 1595
Middletown, CT 06457-8095 - City
- Middletown
- State
- CT
- Zip
- 06457-8095
- Phone Number
- 860-788-6404
- Fax Number
- 860-398-6441
License Information
- License Number (1)
- R45728
- License State (1)
- NM
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- CNP01098
- License State (2)
- NM
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Espanola, NM
View all Nurse Practitioner, Psych/Mental Health providers in Espanola →Frequently Asked Questions
What is the NPI number of Dr. Keith B Haynie, DNP, RN, CFNP?
The NPI number of Dr. Keith B Haynie, DNP, RN, CFNP is 1033355284. It was assigned on December 17, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Keith B Haynie, DNP, RN, CFNP?
Dr. Keith B Haynie, DNP, RN, CFNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NM under license number R45728.
Where does Dr. Keith B Haynie, DNP, RN, CFNP practice?
The practice location is 206 S Coronado Ave, Espanola, NM 87532-2792. The office can be reached at 860-788-6404 (phone) or 860-398-6441 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033355284 directly on the NPPES registry website.