Provider Demographics
NPI:1164277166
Name:DEY-LAYNE, SHARON (CNS)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:DEY-LAYNE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7437 RUTLEDGE COURT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8306
Mailing Address - Country:US
Mailing Address - Phone:626-485-3898
Mailing Address - Fax:
Practice Address - Street 1:7437 RUTLEDGE COURT
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-8306
Practice Address - Country:US
Practice Address - Phone:626-485-3898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN450432163WP1700X, 163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WP1700XNursing Service ProvidersRegistered NursePerinatal