Provider Demographics
NPI:1568544666
Name:B. DARLENE BYRD, MNSC, APN, P.A.
Entity Type:Organization
Organization Name:B. DARLENE BYRD, MNSC, APN, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:501-605-8110
Mailing Address - Street 1:PO BOX 1523
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-1523
Mailing Address - Country:US
Mailing Address - Phone:501-605-8110
Mailing Address - Fax:
Practice Address - Street 1:14 TAHOE CT
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-2883
Practice Address - Country:US
Practice Address - Phone:501-605-8110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty