MEDICARE: SHELLEY BYRON

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	171400000X	Health & Wellness Coach		CA

General Provider Information

NPI Number	:	1932053428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELLEY BYRON

Provider Business Mailing Address
First Line	:	155 N 3RD ST
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-2044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	295 CHERRY LN
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-3417
Country	:	US
Telephone Number	:	408-364-4200
Fax Number	:

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

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ SHELLEY BYRON ” Practice Location

Language	Start Address	Practice Location

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