Provider Demographics
NPI:1386110112
Name:LAYNE, ESTHER (RN)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:LAYNE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5466 CHESAPEAKE DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-1478
Mailing Address - Country:US
Mailing Address - Phone:269-605-9186
Mailing Address - Fax:
Practice Address - Street 1:5520 HIGH ST
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-8131
Practice Address - Country:US
Practice Address - Phone:423-209-5440
Practice Address - Fax:423-498-4583
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-19
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN220340163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health