| Ms Kelly Aleen Haines, FNP-C | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
| (928) 729-8000 | |
| Not Available |
| Full Name | Ms Kelly Aleen Haines |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538437611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60438941 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP4272 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
| Rehoboth Mckinley Christian Health Care Services | Gallup, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 144 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly Aleen Haines, FNP-C Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Ms Kelly Aleen Haines, FNP-C Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
Rosemary Josephine Bolza, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Highways 7 And 12, Fort Defiance, AZ 86504 Phone: 928-729-8775 | |
Mrs. Patricia Nadurak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Corner Of N12 And N8, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Jamie S Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Routes N7 & N12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Kathryn Barron, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8821 | |
June Ellen Rhoda, APRN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Melonie I Blancaneaux, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Tseshootsooi Medical Center, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8587 | |
Ms. Jean Proper, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |