Provider Demographics
NPI:1205416799
Name:BYRD, SARAH WHATLEY (MSN, FNP-C, CRNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:WHATLEY
Last Name:BYRD
Suffix:
Gender:F
Credentials:MSN, FNP-C, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 PRINCETON AVE SW STE 308
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1349
Mailing Address - Country:US
Mailing Address - Phone:205-787-2669
Mailing Address - Fax:205-787-2865
Practice Address - Street 1:817 PRINCETON AVE SW STE 308
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1349
Practice Address - Country:US
Practice Address - Phone:205-787-2669
Practice Address - Fax:205-787-2865
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-09
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC317127163W00000X
AL1-162468207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse