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Individual
ANDREA DIANE BYFORD
Active
Individual
ANDREA DIANE BYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
109450
OK
364S00000X
Clinical Nurse Specialist
109450
OK
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
109450
OK
Other
Enumeration date
07/20/2018
Last updated
07/08/2025
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