Provider Demographics
NPI:1891558714
Name:BYRD, ASHLEE (DOULA, CLC)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:BYRD
Suffix:
Gender:F
Credentials:DOULA, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 NW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-7042
Mailing Address - Country:US
Mailing Address - Phone:405-615-7978
Mailing Address - Fax:
Practice Address - Street 1:520 NW 40TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-7042
Practice Address - Country:US
Practice Address - Phone:405-615-7978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK144518AB374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula