Provider Demographics
NPI:1043097660
Name:CHELSEY BYERGO NP LLC
Entity Type:Organization
Organization Name:CHELSEY BYERGO NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BYERGO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:816-616-7408
Mailing Address - Street 1:32848 STATE HIGHWAY M
Mailing Address - Street 2:
Mailing Address - City:BARNARD
Mailing Address - State:MO
Mailing Address - Zip Code:64423-8217
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2112 HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:WATHENA
Practice Address - State:KS
Practice Address - Zip Code:66090-4126
Practice Address - Country:US
Practice Address - Phone:816-616-7408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty