Provider Demographics
NPI:1932489069
Name:WEAVER, LAYNE COX (RN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAYNE
Middle Name:COX
Last Name:WEAVER
Suffix:
Gender:F
Credentials:RN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8304 BURCHLAWN CT
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:NC
Mailing Address - Zip Code:27235-8713
Mailing Address - Country:US
Mailing Address - Phone:336-392-8829
Mailing Address - Fax:
Practice Address - Street 1:1427A NC HIGHWAY 68 N
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NC
Practice Address - Zip Code:27310-9768
Practice Address - Country:US
Practice Address - Phone:336-644-6770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-20
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005251363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC3130AOtherMEDICARE PTAN
NCNC3130AOtherMEDICARE PTAN