Provider Demographics
NPI:1225868482
Name:BYERS, TAEGAN AMANDA (BS)
Entity type:Individual
Prefix:MS
First Name:TAEGAN
Middle Name:AMANDA
Last Name:BYERS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 BOLTON FARMS LN
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-9795
Mailing Address - Country:US
Mailing Address - Phone:517-214-2020
Mailing Address - Fax:
Practice Address - Street 1:990 BOLTON FARMS LN
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-9795
Practice Address - Country:US
Practice Address - Phone:517-214-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula