Individual
KELLY AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP
Contact information
Practice address
1459 18TH ST # 206, SAN FRANCISCO, CA 94107-2801
(415) 580-0806
Mailing address
1459 18TH ST # 206, SAN FRANCISCO, CA 94107-2801
(415) 580-0806
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
8788-33
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
95020954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093282634
—
WI
Enumeration date
11/01/2018
Last updated
06/28/2023
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