Provider Demographics
NPI:1477253284
Name:BYERS, ALLI (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:ALLI
Middle Name:
Last Name:BYERS
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 NEIL AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-2524
Mailing Address - Country:US
Mailing Address - Phone:614-915-6337
Mailing Address - Fax:
Practice Address - Street 1:2535 NEIL AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-2524
Practice Address - Country:US
Practice Address - Phone:614-915-6337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0998250-NP363LP0808X
OHRN.489532363LP0808X
OHAPRN.CNP.0033409363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health