Provider Demographics
NPI:1184086183
Name:LAYNE, STEPHANIE ALBRACHT (DO)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ALBRACHT
Last Name:LAYNE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:ALBRACHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 WALDEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8588
Mailing Address - Country:US
Mailing Address - Phone:937-430-6659
Mailing Address - Fax:
Practice Address - Street 1:5 WALDEN RIDGE DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8588
Practice Address - Country:US
Practice Address - Phone:828-687-8709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2019-01496208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics