Provider Demographics
NPI:1396525804
Name:HAYNES, ALAINA NICOLE (RN)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:NICOLE
Last Name:HAYNES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:NICOLE
Other - Last Name:MONDIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12232 DICKENSON LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-7650
Mailing Address - Country:US
Mailing Address - Phone:772-403-3517
Mailing Address - Fax:
Practice Address - Street 1:12232 DICKENSON LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-7650
Practice Address - Country:US
Practice Address - Phone:772-403-3517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95255752163W00000X
FLRN9529449163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse