Provider Demographics
NPI:1568273282
Name:HAYNES, CHANTEL LAVAWNAW (CNM)
Entity type:Individual
Prefix:
First Name:CHANTEL
Middle Name:LAVAWNAW
Last Name:HAYNES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-7264
Mailing Address - Country:US
Mailing Address - Phone:660-221-2551
Mailing Address - Fax:
Practice Address - Street 1:1613 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-7264
Practice Address - Country:US
Practice Address - Phone:660-221-2551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife