Byrd, Lisa

Byrd, Lisa is an sole proprietor health care provider with primary practice located at 880 Sw 145Th Ave Ste 202 , Pembroke Pines FL 33027-6171. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Byrd, Lisa can be contacted via phone (866) 849-0692.

Contact Information

Primary practice address
880 Sw 145Th Ave Ste 202 Pembroke Pines FL 33027-6171
Fax: (888) 973-8821
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0030800 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9467482 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3-001421 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN-4525 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP030874 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X GAA-NP005107 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60485691 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1059111 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201508268NPPP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP06038 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X M0137542 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 34910 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.024394 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X C-APN.0102177-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 652075 Mississippi

Profile Details

NPI number 1407845829
LBN Legal business name Byrd, Lisa
Credentials PHD,APRN,FNP-BC,GNP-
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated May 5th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407845829 NPPES
Mississippi MEDICAID 00117435

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