Haynes, Miriam L.

Haynes, Miriam L. is an individual health care provider with primary practice located at 200 Retreat Avenue Hartford Hospital Psychiatry Dept, Hartford CT 06106-3310. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Haynes, Miriam L. can be contacted via phone (860) 545-7330.

Contact Information

Primary practice address
200 Retreat Avenue Hartford Hospital Psychiatry Dept Hartford CT 06106-3310
Phone: (860) 545-7330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 004945 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 004965 Connecticut

Profile Details

NPI number 1922366178
LBN Legal business name Haynes, Miriam L.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Sep 5th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922366178 NPPES
Connecticut MEDICAID 004049458

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