Provider Demographics
NPI:1710170105
Name:HAYWOOD, BARBARA SMITH (CNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:SMITH
Last Name:HAYWOOD
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11842 ROCK LANDING DR
Mailing Address - Street 2:SUTIE 115
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4437
Mailing Address - Country:US
Mailing Address - Phone:757-595-9905
Mailing Address - Fax:757-595-5377
Practice Address - Street 1:11842 ROCK LANDING DR
Practice Address - Street 2:SUTIE 115
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4437
Practice Address - Country:US
Practice Address - Phone:757-595-9905
Practice Address - Fax:757-595-5377
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024052857363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health