Individual provider · Type 1 NPI
Michelle Moore Haynie, NNP
Neonatal Nurse Practitioner · Shreveport, LA
NPI number
1730466053
Active
Practice location
1453 E.bert Kouns Industrial Loop, Nicu West Wing
Shreveport, LA 71105
Mailing address
333 Johns Bluff Cir
Shreveport, LA 71106-4733
Other practice locations
- 1 Saint Mary Pl, Shreveport, LA 71101-4343 · (318) 681-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | AP06220 (LA) |
| Nurse Practitioner | 363L00000X | AP06220 (LA) |
| Neonatal Nurse Practitioner | 363LN0000X | AP130435 (TX) |
| Neonatal Nurse Practitioner | 363LN0000X | PA040129 (LA) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1730466053
Michelle Moore Haynie, NNP's National Provider Identifier is 1730466053, issued on Nov 15, 2011. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Shreveport, LA. The record was last updated on May 15, 2023.