| Shana Denise Haywood, | |
|
267 E Cherry St, Groveland, FL 34736-2516 | |
| (850) 716-6675 | |
| Not Available |
| Full Name | Shana Denise Haywood |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 267 E Cherry St, Groveland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306428768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN11012397 (Florida) | Primary |
| Entity Name | White-wilson Medical Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467437277 PECOS PAC ID: 4082510607 Enrollment ID: O20031212000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Shana Denise Haywood, 267 E Cherry St, Groveland, FL 34736-2516 Ph: (850) 716-6675 | Shana Denise Haywood, 267 E Cherry St, Groveland, FL 34736-2516 Ph: (850) 716-6675 |
Mrs. Alicia Pool Hanlon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 612 S Main Ave, Groveland, FL 34736 Phone: 352-409-4782 | |
Janice Darden Krivan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1296 W Broad St, Groveland, FL 34736 Phone: 407-905-8827 Fax: 352-429-5606 | |
Ebony Omara Walker-newberry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 184 Jensen Dr, Groveland, FL 34736 Phone: 352-777-6312 | |
Lymarie M. Vilella, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Prairie Falcon Dr, Groveland, FL 34736 Phone: 787-409-3993 | |
Arnoldo Oliveros Lopez, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 324 Irving Bend Dr, Groveland, FL 34736 Phone: 786-318-4157 | |
Chelsea Baker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 Kestrel Dr, Groveland, FL 34736 Phone: 850-447-1500 |