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NPI Code Detail

MEDICARE: DR. WESTLEY BYRNE

MEDICARE: DR. WESTLEY BYRNE
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
1363LP0200XPediatric Nurse PractitionerVP001852DPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447253372
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WESTLEY BYRNE
Provider Business Mailing Address
First Line : 126 CATHARINE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-3404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 S 5TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-5919
Country : US
Telephone Number : 215-467-3515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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