Individual
HEATHER BYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
(931) 815-3876
Mailing address
PO BOX 640, MCMINNVILLE, TN 37111-0640
(931) 507-1212
(931) 507-1217
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
81306
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81306
LICENSE
TN
Enumeration date
05/20/2013
Last updated
05/20/2013
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