Provider Demographics
NPI:1558167197
Name:BYRD, SUMMER
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:BYRD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 WAKEFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-2232
Mailing Address - Country:US
Mailing Address - Phone:716-548-1655
Mailing Address - Fax:
Practice Address - Street 1:188 WAKEFIELD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-2232
Practice Address - Country:US
Practice Address - Phone:716-548-1655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula