Haynes, Rachel Irene

Haynes, Rachel Irene is an individual health care provider with primary practice located at 430 S Blosser Rd , Santa Maria CA 93458-4908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Haynes, Rachel Irene can be contacted via phone (805) 361-8900.

Contact Information

Primary practice address
430 S Blosser Rd Santa Maria CA 93458-4908
Phone: (805) 361-8900
Fax: (805) 361-8990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 109947 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 14788 California

Profile Details

NPI number 1710280409
LBN Legal business name Haynes, Rachel Irene
Credentials CPNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2010
Last updated Aug 19th, 2022 - about 4 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 1710280409 NPPES
Colorado MEDICAID 66981816

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