Lillian Prine Byrd, APRN

Individual provider Active NPI Family Nurse Practitioner · Branford, FL

NPI 1659943595 · NPPES record last updated Jul 12, 2021

Key facts

NPI
1659943595
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APRN11014183 (FL)
Practice address
103 US Highway 27 SW
Branford, FL 32008-2767
Phone
(386) 935-3090
Fax
(386) 935-3198
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11014183FLMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11014183 FL Yes

Addresses

Primary practice location

103 US Highway 27 SW
Branford, FL 32008-2767

Mailing address

23343 NW County Road 236
High Springs, FL 32643-9669
Phone (386) 454-0698

Other providers in Branford, FL

All providers in Branford, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.