Provider Demographics
NPI:1659096303
Name:LAYNE, BRITNEY GEORGE
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:GEORGE
Last Name:LAYNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10009 ORCHARD GRASS CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7852
Mailing Address - Country:US
Mailing Address - Phone:304-532-9050
Mailing Address - Fax:
Practice Address - Street 1:13521 STEELECROFT PKWY STE D
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7934
Practice Address - Country:US
Practice Address - Phone:704-315-5845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily