| Doctor Name: | MRS. TERESA LOUISE BYRD |
| NPI Number: | 1194710079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 26NJ00000500 |
| Business Practice Address: | 500 E 6th St Ocean City, NJ - 082263826 |
| Business Phone Number: | 6093991862 |
| Business Fax Number: | 6093991572 |
| Mailing Address: | 224 1st Ave, ESTELL MANOR |
| State: | NJ |
| Postal Code: | 083191731 |
| Phone Number: | 6094762883 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2005 |
| NPI Last Update Date: | 10/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00000500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |