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Individual

ROBERT KEITH BYRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-6300
(504) 988-6348
Mailing address
1430 TULANE AVE, SUITE 8578, NEW ORLEANS, LA 70112-2632
(504) 988-5482
(504) 988-5483

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP06172
LA
363LF0000X
Family Nurse Practitioner
Primary
R853885
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP06172
ADVANCED PRACTICE RN
LA
01
PA021177CS
PRESCRIPTIVE AUTHORITY INFO
LA
01
R853885
RN LICENSE
MS
01
RN116868
RN LICENCE
LA
Enumeration date
01/29/2008
Last updated
04/08/2014
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