Provider Demographics
NPI:1568120921
Name:BYRD, AUSTIN COLE (RN)
Entity Type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:COLE
Last Name:BYRD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7786 WILDCREEK TRL SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-3900
Mailing Address - Country:US
Mailing Address - Phone:256-783-5614
Mailing Address - Fax:
Practice Address - Street 1:1210 14TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4313
Practice Address - Country:US
Practice Address - Phone:256-783-5614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-171422363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner