Provider Demographics
NPI:1760753040
Name:BYERS, SHIRLEY J (CRNP)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:J
Last Name:BYERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SHIRLEY
Other - Middle Name:J
Other - Last Name:WIGHTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:530 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2775
Mailing Address - Country:US
Mailing Address - Phone:724-830-8527
Mailing Address - Fax:724-850-3145
Practice Address - Street 1:530 SOUTH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2775
Practice Address - Country:US
Practice Address - Phone:724-830-8527
Practice Address - Fax:724-547-3799
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily