Individual
MS. MELISSA MARTIN BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPCP
Contact information
Practice address
19283 HIGHWAY 59, SUMMERDALE, AL 36580-3005
(251) 523-5437
(866) 628-7517
Mailing address
19283 HIGHWAY 59, SUMMERDALE, AL 36580-3005
(251) 523-5437
(866) 628-7517
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-081366
AL
363LP0200X
Pediatric Nurse Practitioner
9200085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
—
1063439065
NPI GROUP PAYEE NUMBER
AL
01
—
1275872780
GROUP NPI
FL
05
—
305877800
—
FL
05
—
630000013
—
AL
01
—
9200085
PEDIATRIC NURSING LICENSE
FL
Enumeration date
03/08/2006
Last updated
08/28/2024
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