Organization
HAYWOOD MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE V HAYWOOD CRNP (OWNER)
(443) 726-3448
Entity
Organization
Contact information
Practice address
3910 5TH ST, BALTIMORE, MD 21225-2036
(410) 989-9891
Mailing address
PO BOX 3004, BALTIMORE, MD 21229-0004
(410) 989-9891
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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