Provider Demographics
NPI:1386784528
Name:BYRNE, PATRICIA H (RN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:H
Last Name:BYRNE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-3213
Mailing Address - Country:US
Mailing Address - Phone:617-623-1814
Mailing Address - Fax:
Practice Address - Street 1:43 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-3213
Practice Address - Country:US
Practice Address - Phone:617-623-1814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110563101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health