Provider Demographics
NPI:1740472976
Name:POWERS-BYRD, V. ELIZABETH (RN, BSN, MSN, CRNP)
Entity type:Individual
Prefix:
First Name:V.
Middle Name:ELIZABETH
Last Name:POWERS-BYRD
Suffix:
Gender:F
Credentials:RN, BSN, MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WESCOTT RD
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2530
Mailing Address - Country:US
Mailing Address - Phone:856-985-8819
Mailing Address - Fax:856-985-8825
Practice Address - Street 1:111 S 11TH ST STE 6350
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4824
Practice Address - Country:US
Practice Address - Phone:215-955-8304
Practice Address - Fax:215-923-0835
Is Sole Proprietor?:No
Enumeration Date:2007-08-12
Last Update Date:2007-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP000768C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health