NPI 1104132760

Shasta Michelle Byrd, CNA

Practitioner Home Health Aide Winter Haven, FL

Practice location

Address: 91 Surf Dr, Winter Haven, FL 33880-5756
Phone: (863) 325-8424
Mailing address: 2726 Old Eagle Lake Winter Haven Rd Lot 4, Eagle Lake, FL 33839-5402

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence 156966 (FL)

Other Home Health Aide providers in Florida →

Registry record

NPI: 1104132760
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2010
Record last updated: 20 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.