Individual
BRANDY M BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4 MEMORIAL DR STE 230, ALTON, IL 62002-6704
(618) 463-7874
Mailing address
163 E BETHALTO DR, BETHALTO, IL 62010-1801
(618) 433-6640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13397-30
WI
363L00000X
Nurse Practitioner
2015018041
MO
363L00000X
Nurse Practitioner
Primary
209011350
IL
363LF0000X
Family Nurse Practitioner
209011350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902217540
—
WI
05
—
209011350
—
IL
Enumeration date
05/16/2014
Last updated
09/26/2025
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