Provider Demographics
NPI:1700569308
Name:BYERS, WHITNEY RENE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:RENE
Last Name:BYERS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 TAMARACK RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-2305
Mailing Address - Country:US
Mailing Address - Phone:220-564-4972
Mailing Address - Fax:220-564-4991
Practice Address - Street 1:1865 TAMARACK RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-2305
Practice Address - Country:US
Practice Address - Phone:220-564-4972
Practice Address - Fax:220-564-4991
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLE-00047784363LF0000X
OHAPRN.CNP.0034656363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily