Provider Demographics
NPI:1457813875
Name:AYALA, NORMA (LVN)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:
Last Name:AYALA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10008 OVERLOOK CYN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4691
Mailing Address - Country:US
Mailing Address - Phone:210-325-7524
Mailing Address - Fax:
Practice Address - Street 1:10008 OVERLOOK CYN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-4691
Practice Address - Country:US
Practice Address - Phone:210-325-7524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225196164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse