Provider Demographics
NPI:1780048744
Name:CARRHAYNES, VERNILLA TOMIKA
Entity type:Individual
Prefix:MRS
First Name:VERNILLA
Middle Name:TOMIKA
Last Name:CARRHAYNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26106 THORNRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-9280
Mailing Address - Country:US
Mailing Address - Phone:810-399-0966
Mailing Address - Fax:
Practice Address - Street 1:26106 THORNRIDGE DR
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-9280
Practice Address - Country:US
Practice Address - Phone:810-399-0966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other