Individual provider · Type 1 NPI
Tina Marie Heyward, CRNP
Family Nurse Practitioner · Laurel, MD
NPI number
1629146022
Active
Practice location
14409 Greenview Dr 101A
Laurel, MD 20708-3293
Fax (301) 725-2779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R095262 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629146022
Tina Marie Heyward, CRNP's National Provider Identifier is 1629146022, issued on Dec 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Laurel, MD. The record was last updated on Sep 26, 2015.