Provider Demographics
NPI:1891395752
Name:VERA AYALA, DAYNET (ARNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:DAYNET
Middle Name:
Last Name:VERA AYALA
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 WILMINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-8647
Mailing Address - Country:US
Mailing Address - Phone:239-851-4446
Mailing Address - Fax:
Practice Address - Street 1:38 NE 29TH ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-8856
Practice Address - Country:US
Practice Address - Phone:239-851-4446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP11009783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily