Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vicki Marie Haines

Individual provider Nurse Practitioner · NPI 1720386808

Vicki Marie Haines is a Nurse Practitioner in Pasco, Washington. Qualified in 2010, 16 years ago. Practices with Atomic Dermatology LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2011
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Practice location Address checks out

9221 Sandifur Pkwy Ste A
Pasco, WA 99301-9241
Phone: (509) 233-7546
Fax: (509) 795-3508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 S 3rd Ave, Walla Walla, WA 99362-2848 — (509) 240-2554

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60211812 (WA)

Record details

NPI number1720386808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2011
Last updated in NPPESMarch 7, 2023
Certification dateJanuary 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Atomic Dermatology Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pasco