Provider Demographics
NPI:1629408802
Name:AYALA, GILDA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:GILDA
Middle Name:
Last Name:AYALA
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 HADDONFIELD BERLIN RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4878
Mailing Address - Country:US
Mailing Address - Phone:800-943-1817
Mailing Address - Fax:
Practice Address - Street 1:1233 HADDONFIELD BERLIN RD
Practice Address - Street 2:SUITE 4
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4878
Practice Address - Country:US
Practice Address - Phone:800-943-1817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00474600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily