Healthcare Provider Details

I. General information

NPI: 1356464226
Provider Name (Legal Business Name): SANDRA JOAN LAYMAN MSN, ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 E ERICKSON DR
TUCSON AZ
85712-2822
US

IV. Provider business mailing address

5350 E ERICKSON DR
TUCSON AZ
85712-2822
US

V. Phone/Fax

Practice location:
  • Phone: 520-733-2250
  • Fax:
Mailing address:
  • Phone: 520-733-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN108744
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: