Provider Demographics
NPI:1316125040
Name:BYRD-HUNT, OBERIA LASHON
Entity type:Individual
Prefix:MRS
First Name:OBERIA
Middle Name:LASHON
Last Name:BYRD-HUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 DOLLARWAY RD
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71602-3731
Mailing Address - Country:US
Mailing Address - Phone:870-413-0771
Mailing Address - Fax:
Practice Address - Street 1:1801 W 40TH AVE
Practice Address - Street 2:SUITE 2-B
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-6940
Practice Address - Country:US
Practice Address - Phone:870-535-7457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR53623163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse