Provider Demographics
NPI:1760591630
Name:BYER, BARBARA CONNELL (RN, NP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:CONNELL
Last Name:BYER
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 ROSELAWN CRES
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-1326
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 675
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-7753
Practice Address - Fax:585-461-0662
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188142-1163WN0300X
NYF300442-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WN0300XNursing Service ProvidersRegistered NurseNephrology
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health