person
Carissa Haines
Family Nurse Practitioner in Dayton, Ohio
NPI 1346591815

Carissa Haines is a Family Nurse Practitioner based in Moraine, OH and is specialized in Family. Carissa Haines practices in Dayton, OH. The NPI Number for Carissa Haines is 1346591815 and holds a License No. COA.13356-NP (Ohio).

The current practice location address for Carissa Haines is 122 Wyoming St, Dayton, OH and can be reached out via phone at 937-223-4461 and via fax at 937-449-7603.

Location: 122 Wyoming St, Dayton, OH, 45439-1924
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Provider Profile Details
NPI Number
1346591815
Provider Name
Carissa Haines
Credential
Provider Entity Type
Individual
Gender
Female
Address
122 Wyoming St, Dayton, OH, 45439-1924
Phone Number
937-223-4461
Fax Number
937-449-7603
Provider Enumeration Date
09/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0294150 05 OH
institution
Provider Business Practice Location Address Details
Address
122 Wyoming St
City
State
Zip
45409-2731
Phone Number
937-223-4461
Fax Number
937-449-7603
person
Provider Business Mailing Address Details
Address
122 Wyoming St
City
State
Zip
45409-2731
Phone Number
937-223-4461
Fax Number
937-449-7603
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
COA.13356-NP (Ohio)
Definition
Definition to come...
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