Provider Demographics
NPI:1932835345
Name:AYALA, EVELYN (ARNP)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:AYALA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 NW 11TH ST APT 18
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3163
Mailing Address - Country:US
Mailing Address - Phone:305-984-5714
Mailing Address - Fax:
Practice Address - Street 1:7765 SW 87TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2535
Practice Address - Country:US
Practice Address - Phone:305-395-1441
Practice Address - Fax:888-975-1250
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11015515363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily