Provider Demographics
NPI:1053200782
Name:BYRNES, JOEY ELIZABETH (BSN, RN, CHWC)
Entity type:Individual
Prefix:
First Name:JOEY
Middle Name:ELIZABETH
Last Name:BYRNES
Suffix:
Gender:F
Credentials:BSN, RN, CHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242-6301
Mailing Address - Country:US
Mailing Address - Phone:774-254-5401
Mailing Address - Fax:
Practice Address - Street 1:1017 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:HENNIKER
Practice Address - State:NH
Practice Address - Zip Code:03242-6301
Practice Address - Country:US
Practice Address - Phone:774-254-5401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
NH074391-21163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No171400000XOther Service ProvidersHealth & Wellness Coach