Haynes, Susan Craig

Haynes, Susan Craig is an individual health care provider with primary practice located at 3215 Steck Ave Suite 200, Austin TX 78757-7566. 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 / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Haynes, Susan Craig can be contacted via phone (512) 476-3556.

Contact Information

Primary practice address
3215 Steck Ave Suite 200 Austin TX 78757-7566
Phone: (512) 476-3556
Fax: (512) 476-0195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 570847 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 570847 Texas

Profile Details

NPI number 1922005545
LBN Legal business name Haynes, Susan Craig
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Jun 26th, 2012 - about 14 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 1922005545 NPPES
Texas MEDICAID 0928954-03

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