Individual
CASSIDY ANN AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 MAURINE ST, BILLINGS, MT 59105-4240
(307) 630-9776
Mailing address
7402 HAWTHORNE DR, CHEYENNE, WY 82009-1087
(307) 630-9776
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
192455
MT
Other
Enumeration date
03/31/2022
Last updated
04/14/2022
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