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NPI Code Detail

MEDICARE: CHERYL D LAYNE FNP-C

MEDICARE: CHERYL D LAYNE FNP-C
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 Practitioner705442TX

General Provider Information

NPI Number : 1790937407
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL D LAYNE FNP-C
Provider Business Mailing Address
First Line : 403 STATE HIGHWAY 110 N
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-3109
Country : US
Telephone Number : 903-202-7002
Fax Number : 903-352-3297
Provider Business Practice Location Address
First Line : 403 STATE HIGHWAY 110 N
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-3109
Country : US
Telephone Number : 903-202-7002
Fax Number : 903-352-3297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2008
Last Update Date : 04/23/2022

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Directions to “ CHERYL D LAYNE FNP-C” Practice Location

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