Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | 75 | SC |
NPI | 1073522058 |
---|---|
Provider Name | Ms. Terrill Marsh Byrd |
First Address | Gainesville, FL 32607-1393 |
Second Address | Gainesville, FL 32608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 30/09/2013 |