Individual
LAYWELL TEDOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2269898
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2269898
MA
363LW0102X
Women's Health Nurse Practitioner
RN2269898
MA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0024172332
VA
Other
Enumeration date
02/11/2015
Last updated
07/21/2025
Update your record
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