Provider Demographics
NPI:1457365892
Name:AYRAL, CENK (MAED BSN CDE)
Entity Type:Individual
Prefix:MR
First Name:CENK
Middle Name:
Last Name:AYRAL
Suffix:
Gender:M
Credentials:MAED BSN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 860
Mailing Address - Street 2:200 W. HOSPITAL DR.
Mailing Address - City:WHITERIVER
Mailing Address - State:AZ
Mailing Address - Zip Code:85941-0860
Mailing Address - Country:US
Mailing Address - Phone:928-338-3665
Mailing Address - Fax:
Practice Address - Street 1:200 W. HOSPITAL DR.
Practice Address - Street 2:WHITERIVER PHS INDIAN HOSPITAL
Practice Address - City:WHITERIVER
Practice Address - State:AZ
Practice Address - Zip Code:85941-0860
Practice Address - Country:US
Practice Address - Phone:928-338-3665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2843752163WD0400X
FLCDE #2222-0025163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator