MEDICARE: LAYTON BETHEA RN,BSN

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
1	163W00000X	Registered Nurse	13395986-3102	UT

General Provider Information

NPI Number	:	1871457861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAYTON BETHEA RN,BSN

Provider Business Mailing Address
First Line	:	4248 W 275 N
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8568
Country	:	US
Telephone Number	:	435-459-3549
Fax Number	:

Provider Business Practice Location Address
First Line	:	4248 W 275 N
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8568
Country	:	US
Telephone Number	:	435-459-3549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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