| Diane Leslie Layman, CRNA | |
|
101 Bodin Circle Travis Afb, Fairfield, CA 94535 | |
| (707) 423-7948 | |
| Not Available |
| Full Name | Diane Leslie Layman |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 101 Bodin Circle Travis Afb, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649220005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 51820 (California) | Primary |
| Entity Name | Anesthesia Services Of San Joaquin Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
| Entity Name | Uap Sacramento, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245644863 PECOS PAC ID: 2860612330 Enrollment ID: O20141003002026 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Leslie Layman, CRNA 60mdg / Sgcsa / Anesthesia Dept, 101 Bodin Circle, Travis Afb, CA 94535 Ph: () - | Diane Leslie Layman, CRNA 101 Bodin Circle Travis Afb, Fairfield, CA 94535 Ph: (707) 423-7948 |
Janice Shannon-cain, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Anesthesia Dept, Fairfield, CA 94535 Phone: 510-517-4123 | |
Dr. Manminder Singh Johal, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-5005 | |
Tina Renee Isaac, CRNA, DNAP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-673-3594 |