IndividualActive
Anedtra Haynes
NPI 1629339080 · Specialist · Edmond, OK
Provider details
- NPI number
- 1629339080
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1621 Nw 150th Ter
Edmond, OK 73013-1653
Phone: (405) 752-9952
Approximate (ZIP-level) locationGet directions
Mailing address
1621 Nw 150th Ter
Edmond, OK 73013-1653
Registry dates
- Enumerated
- 2012-06-01
- Last updated
- 2012-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.