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NPI Code Detail

MEDICARE: MS. ADELA YNIGUEZ AYALA RN, NP

MEDICARE: MS. ADELA YNIGUEZ AYALA RN, NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician7335CA
2363L00000XNurse Practitioner7335CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1438565OTHERCAREGISTERED NURSE LIC
27335OTHERCANURSE PRACTITIONER FURN

General Provider Information

NPI Number : 1235116138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ADELA YNIGUEZ AYALA RN, NP
Provider Business Mailing Address
First Line : 568 E HERNDON AVE STE 201
Second Line :
City : FRESNO
State : CA
Zip : 93720-2989
Country : US
Telephone Number : 559-228-6600
Fax Number : 559-226-3709
Provider Business Practice Location Address
First Line : 568 E HERNDON AVE STE 201
Second Line :
City : FRESNO
State : CA
Zip : 93720-2989
Country : US
Telephone Number : 559-228-6600
Fax Number : 559-226-3709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 04/11/2022

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