Healthcare Provider Details

I. General information

NPI: 1184542052
Provider Name (Legal Business Name): KRYSTEN MICHELLE BYRON DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 CHERRY ST STE 305
TOLEDO OH
43608-2672
US

IV. Provider business mailing address

212 SAINT ANNE LN
MONROE MI
48162-3590
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-3232
  • Fax:
Mailing address:
  • Phone: 734-625-0245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN.CRNA.0021629
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: