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Individual
ALAYNA NICOLE GANTNER
Active
Individual
ALAYNA NICOLE GANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA061172
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14592268
CAQH
—
Enumeration date
12/12/2019
Last updated
09/15/2025
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