Individual
MS. ELIZABETH DIANE BYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC FNP
Contact information
Practice address
32 RESORT WAY, ELLSWORTH FAMILY PRACTICE, ELLSWORTH, ME 04605-1717
(207) 664-7770
(207) 664-7723
Mailing address
50 UNION ST, ELLSWORTH FAMILY PRACTICE, ELLSWORTH, ME 04605-1534
(207) 664-7770
(207) 664-7723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RO24923
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253000099
—
ME
Enumeration date
03/19/2007
Last updated
07/07/2015
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