Provider Demographics
NPI:1710318365
Name:LAYTON, MARY LOUISE (ARNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LOUISE
Last Name:LAYTON
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7744 BAY STREET
Mailing Address - Street 2:UNIT 2-3
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3427
Mailing Address - Country:US
Mailing Address - Phone:772-388-8322
Mailing Address - Fax:772-388-8323
Practice Address - Street 1:7744 BAY STREET
Practice Address - Street 2:UNIT 2-3
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3427
Practice Address - Country:US
Practice Address - Phone:772-388-8322
Practice Address - Fax:772-388-8323
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9192424363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health