Haynie, Michelle Moore
Haynie, Michelle Moore is an individual health care provider with primary practice located at 1453 E.Bert Kouns Industrial Loop, Nicu West Wing , Shreveport LA 71105. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Haynie, Michelle Moore can be contacted via phone (318) 681-4316.Contact Information
Primary practice address
1453 E.Bert Kouns Industrial Loop, Nicu West Wing
Shreveport LA 71105
Phone: (318) 681-4316
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | AP06220 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP06220 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | AP130435 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | PA040129 | Louisiana |
Profile Details
| NPI number | 1730466053 |
|---|---|
| LBN Legal business name | Haynie, Michelle Moore |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2011 |
| Last updated | May 15th, 2023 - about 3 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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