Individual
MRS. ANTONIA HORSLEY HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
(252) 823-3164
Mailing address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
(252) 823-3164
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
106931
NC
363LF0000X
Family Nurse Practitioner
Primary
2008002647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000677
—
NC
Enumeration date
10/28/2008
Last updated
02/26/2015
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