Active NPIIndividual provider

Theresa Haywood, NP

Nurse Practitioner, Family in Bomoseen, Vermont

NPI Number1891196804
Practice location
275 Route 30 N, Bomoseen, VT 05732-9647
Fax
802-468-2923
Last updated
December 13, 2021

Theresa Haywood is a Nurse Practitioner, Family based in Bomoseen, VT. Theresa Haywood practices in Bomoseen, VT and has the professional credentials of NP. The NPI Number for Theresa Haywood is 1891196804 and holds a License No. 101.0103560 (VT). The current practice location address for Theresa Haywood is 275 Route 30 N, Bomoseen, VT 05732-9647 and can be reached out via phone at 802-468-5641 and via fax at 802-468-2923.

Provider Profile Details

NPI Number
1891196804
Provider Name
Theresa Haywood
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
275 Route 30 N, Bomoseen, VT 05732-9647
Phone Number
802-468-5641
Fax Number
802-468-2923
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 9, 2014
Last Update Date
December 13, 2021
Certification Date
December 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
275 Route 30 N
Bomoseen, VT 05732-9647
State
Vermont
Zip
05732-9647
Phone Number
802-468-5641
Fax Number
802-468-2923
Bomoseen, VT 05732Get directions →

Provider Business Mailing Address Details

Address
71 Allen St
Ste 403
Rutland, VT 05701-4570
City
Rutland
State
VT
Zip
05701-4570
Phone Number
802-772-4414
Fax Number
802-772-7973

License Information

License Number (1)
101.0103560
License State (1)
VT
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
101.0103560
License State (2)
VT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Theresa Haywood, NP?

The NPI number of Theresa Haywood, NP is 1891196804. It was assigned on September 9, 2014 and is currently active in the NPPES registry.

What is the specialty of Theresa Haywood, NP?

Theresa Haywood, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in VT under license number 101.0103560.

Where does Theresa Haywood, NP practice?

The practice location is 275 Route 30 N, Bomoseen, VT 05732-9647. The office can be reached at 802-468-5641 (phone) or 802-468-2923 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891196804 directly on the NPPES registry website.

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