Individual
KAREN LEA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING NORTH, SUITE 5108, BOSTON, MA 02118-2908
(617) 894-6795
Mailing address
1 BOSTON MEDICAL CTR PL, DOWLING NORTH, SUITE 5108, BOSTON, MA 02118-2908
(617) 894-6795
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
600047
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
196457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000907
—
NC
01
—
7770615
AETNA
—
01
—
B4293
MEDCOST
—
Enumeration date
11/30/2005
Last updated
10/27/2020
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