Provider Demographics
NPI:1679140057
Name:NAYLOR, ALYSSA ANN (CNM)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ANN
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 BRITTONFIELD PKWY STE A128
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9228
Mailing Address - Country:US
Mailing Address - Phone:315-446-4400
Mailing Address - Fax:315-446-4201
Practice Address - Street 1:5000 BRITTONFIELD PKWY STE A128
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9228
Practice Address - Country:US
Practice Address - Phone:315-446-4400
Practice Address - Fax:315-446-4201
Is Sole Proprietor?:No
Enumeration Date:2021-06-05
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002081367A00000X
NYF421517363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife