Provider Demographics
NPI:1467564518
Name:BYRNE, MONICA (CNM)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BYRNE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9171 KEY COMMONS CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-5300
Mailing Address - Country:US
Mailing Address - Phone:703-330-3285
Mailing Address - Fax:
Practice Address - Street 1:9171 KEY COMMONS CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-5300
Practice Address - Country:US
Practice Address - Phone:703-330-3285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166002176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife