Provider Demographics
NPI:1295433399
Name:ERIN HAYNES, FPMH-NP, LLC
Entity type:Organization
Organization Name:ERIN HAYNES, FPMH-NP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PSYCHIATRIC MENTAL HEALTH NP
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:FPMH-NP
Authorized Official - Phone:207-222-3023
Mailing Address - Street 1:14 MAINE ST STE 205
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2026
Mailing Address - Country:US
Mailing Address - Phone:207-222-3023
Mailing Address - Fax:207-517-5859
Practice Address - Street 1:871 COURT ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-3903
Practice Address - Country:US
Practice Address - Phone:207-222-2023
Practice Address - Fax:207-517-5859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty