Individual
MRS. AMANDA L LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
666335
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
726816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86471U
BLUE CROSS PROVIDER ID
TX
Enumeration date
12/14/2005
Last updated
06/17/2024
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