Individual
BRENT BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3040 NW 179TH CT, EDMOND, OK 73012
(405) 315-8440
Mailing address
7017 SW 90TH ST, OKLAHOMA CITY, OK 73169-3739
(405) 315-8440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0069144
OK
363L00000X
Nurse Practitioner
Primary
R0069144
NV
363LF0000X
Family Nurse Practitioner
69144
OK
Other
Enumeration date
04/24/2018
Last updated
02/07/2024
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