Individual
BYRON BERNARD DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5131 ODONOVAN DR FL 1, BATON ROUGE, LA 70808-4782
(225) 767-4893
(225) 767-5494
Mailing address
PO BOX 83130, BATON ROUGE, LA 70884-3130
(225) 767-4893
(225) 767-5494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN076791 AP05330
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022616
—
LA
Enumeration date
11/13/2007
Last updated
11/15/2010
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