Provider Demographics
NPI:1023162476
Name:HAYNES, LINDA G (PNP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:G
Last Name:HAYNES
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
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Mailing Address - Street 1:14 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-2418
Mailing Address - Country:US
Mailing Address - Phone:978-273-0761
Mailing Address - Fax:
Practice Address - Street 1:85 HERRICK ST
Practice Address - Street 2:THE LYNCH BUILDING
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1790
Practice Address - Country:US
Practice Address - Phone:978-921-2899
Practice Address - Fax:978-921-2968
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA164115363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics