Provider Demographics
NPI:1851661284
Name:LASH, LAYNE ELLEN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAYNE
Middle Name:ELLEN
Last Name:LASH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:LAYNE
Other - Middle Name:ELLEN
Other - Last Name:STRANNIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83001-0428
Mailing Address - Country:US
Mailing Address - Phone:307-739-8999
Mailing Address - Fax:307-739-4811
Practice Address - Street 1:1415 S HWY 89
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001-8515
Practice Address - Country:US
Practice Address - Phone:307-739-8999
Practice Address - Fax:307-739-4811
Is Sole Proprietor?:No
Enumeration Date:2012-01-02
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY27247.1144363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY117862800Medicaid