ALICEA ROSE BYRNE APNP NPI 1255906400

NPI Information

  • NPI: 1255906400
  • Provider Name: ALICEA ROSE BYRNE, APNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1205 CORPORATE CENTER DR
    OCONOMOWOC, WI
    ZIP 53066
  • Phone: (800) 767-4411

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NPI Details

Alicea Rose Byrne, APNP is a psychiatric/mental health nurse practitioner in Oconomowoc, WI. Alicea Rose Byrne, APNP NPI is 1255906400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1205 CORPORATE CENTER DR
OCONOMOWOC, WI
ZIP 53066-898
Phone: (800) 767-4411
Fax: (262) 646-3158

The NPI 1255906400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2021 and was last updated on 5/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner10906WISCONSINNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health10906WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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