Individual
CARRON AUDRE HEYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4167 E TREMONT AVE # 1, BRONX, NY 10465-3348
(646) 408-4332
Mailing address
4167 E TREMONT AVE # 1, BRONX, NY 10465-3348
(646) 408-4332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
644583
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
644583
NY
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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