Holly Anne Haines, PA-C, RDN
Physician Assistant in Wright Patterson Afb, OH. Individual provider (NPI-1).
NPI number1477972768
StatusActive
Last updated in NPPESApr 1, 2024
Details
- NPI
- 1477972768
- Entity type
- Individual (NPI-1)
- Name
- Holly Anne Haines
- Credential
- PA-C, RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2014
- Certification date
- Apr 1, 2024
- Last updated
- Apr 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1220046 | – | Yes |
| 133V00000X | Dietitian, Registered | 1079535 | ID |
Other names
- Holly Anne Piatt (Former Name)
Practice location
4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529
Phone 937-522-2778
Mailing address
4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529
Phone 379-257-0402
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Other Physician Assistant providers in Wright Patterson Afb, OH
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- Mario Enrique De La Barrera, PA-CNPI 1508244146
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- James Michael Garman, PANPI 1528059243
- Christopher George HermanNPI 1639483225
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- Keith JandaNPI 1336655943
All 20 Physician Assistant providers in Wright Patterson Afb · All 397 providers in Wright Patterson Afb
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