Individual provider · NPI-1

Patricia Ann Byrne, RN

Registered Nurse, Diabetes Educator · Boise, ID

NPI number1154622892
StatusActive
Last updated in NPPESNov 11, 2010

Details

NPI
1154622892
Entity type
Individual (NPI-1)
Name
Patricia Ann Byrne
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 11, 2010
Last updated
Nov 11, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes EducatorN-34751IDYes

Practice location

1226 W River St
Boise, ID 83702-7049

Phone 208-331-1155 · Fax 208-383-0190

Mailing address

1510 W Gem Estates Ln
Emmett, ID 83617-9087

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