Provider Demographics
NPI:1114723319
Name:LAYBERGER-HARTLE, ROXANE MAIRE
Entity type:Individual
Prefix:
First Name:ROXANE
Middle Name:MAIRE
Last Name:LAYBERGER-HARTLE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 E ELDORA AVE
Mailing Address - Street 2:
Mailing Address - City:WEEPING WATER
Mailing Address - State:NE
Mailing Address - Zip Code:68463-4317
Mailing Address - Country:US
Mailing Address - Phone:402-677-5014
Mailing Address - Fax:
Practice Address - Street 1:405 E ELDORA AVE
Practice Address - Street 2:
Practice Address - City:WEEPING WATER
Practice Address - State:NE
Practice Address - Zip Code:68463-4317
Practice Address - Country:US
Practice Address - Phone:402-677-5014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion