Provider Demographics
NPI:1144626003
Name:BYRD, VALORIE STEWART (FNP-C)
Entity type:Individual
Prefix:
First Name:VALORIE
Middle Name:STEWART
Last Name:BYRD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 MAGNOLIA HILL LN
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-9735
Mailing Address - Country:US
Mailing Address - Phone:704-264-9473
Mailing Address - Fax:704-895-7177
Practice Address - Street 1:150 MAGNOLIA HILL LN
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-9735
Practice Address - Country:US
Practice Address - Phone:704-264-9473
Practice Address - Fax:704-871-7177
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007287363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily