Individual
TARRIN LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 KANAWHA AVE SW STE 402, SOUTH CHARLESTON, WV 25309-1367
(304) 400-4700
(304) 400-4635
Mailing address
830 STONEWALL RD, BECKLEY, WV 25801-8066
(304) 578-9228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103721
WV
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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