CARISSA HAINES

DAYTON, OH
NPI1346591815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP13356)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OH  COA.13356-NP)
Enumeration Date2012-09-25
Last Update Date2022-03-23
Business Address
CARISSA HAINES
122 WYOMING ST
DAYTON, OH 45409-2731
Phone number: 937-223-4461
Mailing Address
CARISSA HAINES
3170 KETTERING BLVD BLDG B
MORAINE, OH 45439-1924
Phone number: 937-991-3188