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Individual

BREANNA LEE BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8595 PICARDY AVE STE 400, BATON ROUGE, LA 70809-3675
(225) 767-0822
Mailing address
23582 FAIRWOOD AVE, DENHAM SPRINGS, LA 70726-6328

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN145133
LA
363L00000X
Nurse Practitioner
Primary
203297
LA

Other

Enumeration date
12/26/2018
Last updated
01/17/2022
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