Provider Demographics
NPI:1336654797
Name:GAMWELL, LAYNA CHRISTINE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LAYNA
Middle Name:CHRISTINE
Last Name:GAMWELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:LAYNA
Other - Middle Name:CHRISTINE
Other - Last Name:CAPESTANY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:ADULT MEDICINE OF LAKE COUNTY
Mailing Address - Street 2:3619 LAKE CENTER DR.
Mailing Address - City:MT. DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757
Mailing Address - Country:US
Mailing Address - Phone:407-383-8222
Mailing Address - Fax:
Practice Address - Street 1:ADULT MEDICINE OF LAKE COUNTY
Practice Address - Street 2:3619 LAKE CENTER DR.
Practice Address - City:MT. DORA
Practice Address - State:FL
Practice Address - Zip Code:32757
Practice Address - Country:US
Practice Address - Phone:407-383-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-07
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9364085363L00000X
FLAPRN9364085363LA2200X
FLARNP9364085363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health