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NPI Code Detail

MEDICARE: MISS ASHLEIGH BYERS RN

MEDICARE: MISS ASHLEIGH BYERS RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WA0400XAddiction (Substance Use Disorder) Registered NurseR239775MD
2163WC0400XCase Management Registered NurseR239775MD
3163W00000XRegistered NurseR239775MD

General Provider Information

NPI Number : 1114670114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ASHLEIGH BYERS RN
Provider Business Mailing Address
First Line : 5010 REGENCY PL STE 203
Second Line :
City : WHITE PLAINS
State : MD
Zip : 20695-3088
Country : US
Telephone Number : 240-427-3554
Fax Number :
Provider Business Practice Location Address
First Line : 11100 BILLINGSLEY RD
Second Line :
City : WALDORF
State : MD
Zip : 20602-3400
Country : US
Telephone Number : 240-633-0498
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2022
Last Update Date : 09/07/2023

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