Individual
NICOLE THERESA LAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2280 OPITZ BLVD, WOODBRIDGE, VA 22191-3362
(703) 580-0436
Mailing address
45664 RUTHERFORD BLVD, GREAT MILLS, MD 20634-2366
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R126918
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175581
VA
363LA2100X
Acute Care Nurse Practitioner
R126918
MD
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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