Provider Demographics
NPI:1407560386
Name:SALVO, LAYNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:LAYNE
Middle Name:
Last Name:SALVO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LAYNE
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1178 E ABERDEEN DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-0615
Mailing Address - Country:US
Mailing Address - Phone:480-206-3567
Mailing Address - Fax:
Practice Address - Street 1:522 N GILBERT RD STE 103
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-4500
Practice Address - Country:US
Practice Address - Phone:480-980-9378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ285646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily