Individual
MRS. LAYLA MYERS MABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
15 REGIONAL DR, PINEHURST, NC 28374-8850
(910) 255-4400
(910) 235-3447
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8749
(910) 295-5511
(910) 235-3447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900378
NC
363LA2200X
Adult Health Nurse Practitioner
900378
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004470
—
NC
01
—
89014R7
CAROLINA ACCESS
NC
01
—
NCB705A
PALMETTO GBA MEDICARE EFFECTIVE 2/25/2013
NC
05
—
NP0937
—
SC
01
—
P00439348
RR MEDICARE
NC
01
—
P01173872
R/R MEDICARE EFFECTIVE 2/25/2013
NC
Enumeration date
10/13/2005
Last updated
02/25/2014
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