Individual
MICHELLE LEE BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3800 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807-5249
(000) 000-0000
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2022002956
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420106117
—
MO
Enumeration date
01/27/2022
Last updated
10/04/2024
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