Healthcare Provider Details

I. General information

NPI: 1114883196
Provider Name (Legal Business Name): ANISHA RENEE BYERS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BENSON RD STE 115
GARNER NC
27529-3947
US

IV. Provider business mailing address

73 STEWARTS KNOB DR
CLAYTON NC
27527-4400
US

V. Phone/Fax

Practice location:
  • Phone: 919-502-6326
  • Fax:
Mailing address:
  • Phone: 919-717-0952
  • Fax: 919-717-0952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5023719
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: