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NPI Code Detail

MEDICARE: TATIANNA MARIE BYRD

MEDICARE: TATIANNA MARIE BYRD
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
1171M00000XCase Manager/Care CoordinatorLA

General Provider Information

NPI Number : 1639314339
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATIANNA MARIE BYRD
Provider Business Mailing Address
First Line : 8326 KELWOOD AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-4803
Country : US
Telephone Number : 225-478-9685
Fax Number : 225-929-9740
Provider Business Practice Location Address
First Line : 8326 KELWOOD AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-4803
Country : US
Telephone Number : 225-478-9685
Fax Number : 225-929-9740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2008
Last Update Date : 02/19/2026

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Directions to “ TATIANNA MARIE BYRD ” Practice Location

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