Provider Demographics
NPI:1033193479
Name:LAYFIELD, CHERYL (CRNP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:LAYFIELD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 N MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1045
Mailing Address - Country:US
Mailing Address - Phone:410-641-9450
Mailing Address - Fax:410-641-9515
Practice Address - Street 1:1001 N PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-3735
Practice Address - Country:US
Practice Address - Phone:410-289-6241
Practice Address - Fax:410-289-5533
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR085391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD352102800Medicaid
DE1033193479Medicaid
DE003038Medicare PIN
DE1033193479Medicaid
MD352102800Medicaid
DE147170Y0DMedicare PIN