Provider Demographics
NPI:1346682283
Name:BYRD, ANITA MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:MICHELLE
Last Name:BYRD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BIDDLE PL
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5808
Mailing Address - Country:US
Mailing Address - Phone:410-707-4520
Mailing Address - Fax:
Practice Address - Street 1:1200 BIDDLE PL
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5808
Practice Address - Country:US
Practice Address - Phone:410-707-4520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN