MEDICARE: JEFFREY BYRNE PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0999448-NP	CO
2	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN.1648988	CO

General Provider Information

NPI Number	:	1477314201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY BYRNE PMHNP

Provider Business Mailing Address
First Line	:	16259 W 10TH AVE APT E6
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-3790
Country	:	US
Telephone Number	:	720-610-3434
Fax Number	:

Provider Business Practice Location Address
First Line	:	2675 S ABILENE ST STE 100
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-2363
Country	:	US
Telephone Number	:	720-507-4779
Fax Number	:	833-941-5047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	01/14/2026

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