Healthcare Provider Details

I. General information

NPI: 1942117106
Provider Name (Legal Business Name): MICHAELA BYRD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 MIDDLETOWN ODESSA RD
MIDDLETOWN DE
19709-9602
US

IV. Provider business mailing address

621 MIDDLETOWN ODESSA RD
MIDDLETOWN DE
19709-9602
US

V. Phone/Fax

Practice location:
  • Phone: 443-480-5115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberL1-0071962
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: