NPI 1003681461

Calvin Layne, PMHNPBC

Practitioner Psychiatric/Mental Health Nurse Practitioner Fairfax, VA

Practice location

Address: 10304 Eaton Pl STE 100, Fairfax, VA 22030-2221
Phone: (571) 463-8620
Fax: (571) 999-7549

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 0024188311 (VA)

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Registry record

NPI: 1003681461
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2023
Record last updated: 5 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.