Michelle Victoria Haywood, FNP-BC | |
3910 5th St, Baltimore, MD 21225-2036 | |
(443) 726-3448 | |
Not Available |
Full Name | Michelle Victoria Haywood |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3910 5th St, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255947388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R208980 (Maryland) | Primary |
Entity Name | Md Matt Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669941175 PECOS PAC ID: 6800297524 Enrollment ID: O20210701000406 |
Mailing Address | Practice Location Address |
---|---|
Michelle Victoria Haywood, FNP-BC Po Box 3004, Baltimore, MD 21229-0004 Ph: (443) 726-3448 | Michelle Victoria Haywood, FNP-BC 3910 5th St, Baltimore, MD 21225-2036 Ph: (443) 726-3448 |
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