Basic Information
| Provider Information | |||||||||
| NPI: | 1477541902 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BYRNE | ||||||||
| FirstName: | MADELINE | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2655 NORTHWINDS PKWY | ||||||||
| Address2: | |||||||||
| City: | ALPHARETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300092280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7706435563 | ||||||||
| FaxNumber: | 6783524305 | ||||||||
| Practice Location | |||||||||
| Address1: | 2601 HOLME AVE | ||||||||
| Address2: | NAZARETH HOSPITAL | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19152 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153356000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2005 | ||||||||
| LastUpdateDate: | 12/28/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | RN296903L | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.