Individual
ANN MARIE BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
15838 FOUNTAIN PLAZA DR STE A, CHESTERFIELD, MO 63017-7469
(636) 484-5277
Mailing address
15838 FOUNTAIN PLAZA DR STE A, CHESTERFIELD, MO 63017-7469
(636) 484-5277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2012027234
MO
363LF0000X
Family Nurse Practitioner
2012027234
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033460324
—
MO
01
—
P01031413
RAILROAD MEDICARE
MO
Enumeration date
09/26/2012
Last updated
05/02/2023
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