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NPI Code Detail

MEDICARE: MEGAN LAYTON FNP-BC

MEDICARE: MEGAN LAYTON FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704306904MI

General Provider Information

NPI Number : 1487295028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN LAYTON FNP-BC
Provider Business Mailing Address
First Line : 1501 W CHISHOLM ST
Second Line :
City : ALPENA
State : MI
Zip : 49707-1401
Country : US
Telephone Number : 989-356-7252
Fax Number :
Provider Business Practice Location Address
First Line : 1501 W CHISHOLM ST
Second Line :
City : ALPENA
State : MI
Zip : 49707-1401
Country : US
Telephone Number : 989-356-7253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2019
Last Update Date : 11/10/2020

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