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Shannon Nicole Haines, NP
Adult Health Nurse Practitioner in Anaheim, California
NPI 1598738742

Shannon Nicole Haines is an Adult Health Nurse Practitioner based in Brea, CA and is specialized in Adult Health. Shannon Nicole Haines practices in Anaheim, CA and has the professional credentials of NP. The NPI Number for Shannon Nicole Haines is 1598738742 and holds a License No. 258409 (California).

The current practice location address for Shannon Nicole Haines is 303 W Lincoln Ave, Anaheim, CA and can be reached out via phone at 917-285-0361.

Location: 303 W Lincoln Ave, Anaheim, CA, 92821-6024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598738742
Provider Name
Shannon Nicole Haines
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
303 W Lincoln Ave, Anaheim, CA, 92821-6024
Phone Number
917-285-0361
Fax Number
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
303 W Lincoln Ave
City
Anaheim
State
California
Zip
92805-2936
Phone Number
917-285-0361
Fax Number
person
Provider Business Mailing Address Details
Address
303 W Lincoln Ave
City
Anaheim
State
California
Zip
92805-2936
Phone Number
917-285-0361
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
258409 (Massachusetts)
Definition
Definition to come...
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