Provider Demographics
NPI:1679047294
Name:BYRNES, LOUISE (CRNP)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:
Last Name:BYRNES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LOUISE
Other - Middle Name:
Other - Last Name:D'AMATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:219 REECEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1546
Mailing Address - Country:US
Mailing Address - Phone:610-383-8000
Mailing Address - Fax:
Practice Address - Street 1:219 REECEVILLE RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1546
Practice Address - Country:US
Practice Address - Phone:610-383-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN684405163W00000X
PASP022848363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse