Provider Demographics
NPI:1114280963
Name:BYRNES, SHERRI (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:
Last Name:BYRNES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 HOLDER RD
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-3835
Mailing Address - Country:US
Mailing Address - Phone:318-368-2930
Mailing Address - Fax:
Practice Address - Street 1:650 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-5048
Practice Address - Country:US
Practice Address - Phone:318-283-0806
Practice Address - Fax:318-283-0860
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN065247163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health