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NPI Code Detail

MEDICARE: MRS. ADRIENNE CAROLINE BYRNE NP

MEDICARE: MRS. ADRIENNE CAROLINE BYRNE NP
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 Practitioner0995702CO

General Provider Information

NPI Number : 1790457984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ADRIENNE CAROLINE BYRNE NP
Provider Business Mailing Address
First Line : 2620 ELM HILL PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5544 PROMENADE PKWY
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80108-1903
Country : US
Telephone Number : 303-562-9157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 04/06/2022

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