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NPI Code Detail

MEDICARE: TEMPLE BRITT BYRD FNP

MEDICARE: TEMPLE BRITT BYRD FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5001554NC

General Provider Information

NPI Number : 1013020882
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEMPLE BRITT BYRD FNP
Provider Business Mailing Address
First Line : 101 CABARRUS AVE E STE 200
Second Line :
City : CONCORD
State : NC
Zip : 28025-3781
Country : US
Telephone Number : 888-849-7379
Fax Number : 855-857-7333
Provider Business Practice Location Address
First Line : 101 CABARRUS AVE E STE 200
Second Line :
City : CONCORD
State : NC
Zip : 28025-3781
Country : US
Telephone Number : 888-849-7379
Fax Number : 855-857-7333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 01/14/2019

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