Individual
AYLA LYNN BRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1610 ORCHARD DR, CHAMBERSBURG, PA 17201-9206
(717) 261-0929
(717) 261-0902
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SPS014318
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP014318
PA
363LF0000X
Family Nurse Practitioner
SP014318
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102966498
—
PA
01
—
12759937
CAQH
—
Enumeration date
10/17/2014
Last updated
08/20/2024
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