Healthcare Provider Details

I. General information

NPI: 1437676251
Provider Name (Legal Business Name): NANCY REID BYRNE CNM, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2608 TEABERRY DR
NORTH CHESTERFIELD VA
23236-1655
US

IV. Provider business mailing address

4724 SUMMER LAKE CIR
MOSELEY VA
23120-2220
US

V. Phone/Fax

Practice location:
  • Phone: 804-794-8900
  • Fax: 804-378-2012
Mailing address:
  • Phone: 804-652-9442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024175241
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number0024175241
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0024175241
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: