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NPI Code Detail

MEDICARE: MARY BYERS CNP

MEDICARE: MARY BYERS CNP
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
1363LF0000XFamily Nurse PractitionerR31075NM
2364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistR31075NM

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 : 1659386332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BYERS CNP
Provider Business Mailing Address
First Line : 3695 HOT SPRINGS BLVD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-9549
Country : US
Telephone Number : 505-454-2100
Fax Number : 505-454-2222
Provider Business Practice Location Address
First Line : 3695 HOT SPRINGS BLVD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-9549
Country : US
Telephone Number : 505-454-2100
Fax Number : 505-454-2222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 02/14/2011

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Directions to “ MARY BYERS CNP” Practice Location

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