Individual
CARMEN B AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 JOSEPH SIEWICK DR STE 203, FAIRFAX, VA 22033-1756
(703) 941-0267
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167945
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30016191050002
—
VA
Enumeration date
08/08/2008
Last updated
03/24/2026
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