Provider Demographics
NPI:1871176644
Name:LAYTON, CHERYL ANN (NP-C)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:LAYTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 W F 30
Mailing Address - Street 2:
Mailing Address - City:MIKADO
Mailing Address - State:MI
Mailing Address - Zip Code:48745-9719
Mailing Address - Country:US
Mailing Address - Phone:989-335-0160
Mailing Address - Fax:
Practice Address - Street 1:588 W F 30
Practice Address - Street 2:
Practice Address - City:MIKADO
Practice Address - State:MI
Practice Address - Zip Code:48745-9719
Practice Address - Country:US
Practice Address - Phone:989-335-0160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704267506363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner