Healthcare Provider Details

I. General information

NPI: 1760591630
Provider Name (Legal Business Name): BARBARA CONNELL BYER RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE BOX 675
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

158 ROSELAWN CRES
FAIRPORT NY
14450-1326
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-7753
  • Fax: 585-461-0662
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License Number188142-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF300442-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: