Provider Demographics
NPI:1720363880
Name:LAYERLA, DENNYS MARTIN (ARNP)
Entity Type:Individual
Prefix:
First Name:DENNYS
Middle Name:MARTIN
Last Name:LAYERLA
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 NE 127TH ST
Mailing Address - Street 2:APT 201
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5244
Mailing Address - Country:US
Mailing Address - Phone:305-632-1516
Mailing Address - Fax:
Practice Address - Street 1:1560 NE 127TH ST
Practice Address - Street 2:APT 201
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5244
Practice Address - Country:US
Practice Address - Phone:305-632-1516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9277734363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health