Provider Demographics
NPI:1225490139
Name:HAYWOOD, DESALYN (RN)
Entity Type:Individual
Prefix:
First Name:DESALYN
Middle Name:
Last Name:HAYWOOD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 NORVILLE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-1179
Mailing Address - Country:US
Mailing Address - Phone:713-992-2075
Mailing Address - Fax:
Practice Address - Street 1:3235 NORVILLE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-1179
Practice Address - Country:US
Practice Address - Phone:713-992-2075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX841633163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice