Healthcare Provider Details

I. General information

NPI: 1467164020
Provider Name (Legal Business Name): MARIA LAYAO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46169 WESTLAKE DR STE 200
STERLING VA
20165-5875
US

IV. Provider business mailing address

46169 WESTLAKE DR STE 200
STERLING VA
20165-5875
US

V. Phone/Fax

Practice location:
  • Phone: 703-378-1734
  • Fax: 703-378-1735
Mailing address:
  • Phone: 703-378-1734
  • Fax: 703-378-1735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024184747
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: