HAYWOOD MEDICAL LLC NPI 1922777861

NPI Information

HAYWOOD MEDICAL, LLC is an adult health nurse practitioner in Baltimore, MD. HAYWOOD MEDICAL, LLC NPI is 1922777861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3910 5TH ST
BALTIMORE, MD
ZIP 21225-036
Phone: (410) 989-9891

The provider's authorized official is Michelle V Haywood .
The authorized official title is Owner and has the following contact phone number (443) 726-3448.

The CLIA number assigned to this NPI record is 21D2227099 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2021 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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