Individual
CHRISTY DEANN LAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-3915
Mailing address
PO BOX 304, RICHLAND, MO 65556-0304
(573) 953-1881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018009735
MO
363LA2200X
Adult Health Nurse Practitioner
2018009735
MO
363LG0600X
Gerontology Nurse Practitioner
2018009735
MO
363LP2300X
Primary Care Nurse Practitioner
2018009735
MO
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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