Individual
LAUREN AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501-3466
(770) 534-2020
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(707) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN149116
GA
363LF0000X
Family Nurse Practitioner
RN149116NP
GA
Other
Enumeration date
05/15/2008
Last updated
05/22/2024
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