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Individual

NICEEMA BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2231 BRYN MAWR AVE, PHILADELPHIA, PA 19131-2530
(215) 883-0800
Mailing address
PO BOX 13579, READING, PA 19612-3579

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024540
PA

Other

Enumeration date
02/15/2022
Last updated
02/15/2022
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