Individual
CALVIN LAYNE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
(571) 463-8620
(571) 999-7549
Mailing address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
(571) 463-8620
(571) 999-7549
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024188311
VA
Other
Enumeration date
11/16/2023
Last updated
02/05/2024
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