MEDICARE: CARMEN B AYALA

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
1	363LF0000X	Family Nurse Practitioner	0024167945	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649426750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN B AYALA

Provider Business Mailing Address
First Line	:	224-D CORNWALL STREET, NW, SUITE 403
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-2704
Country	:	US
Telephone Number	:	703-737-6010
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 JOSEPH SIEWICK DR STE 203
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1756
Country	:	US
Telephone Number	:	703-941-0267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	03/24/2026

Similar Medicare Providers

1861349037 — MR. AKHIL MULPURU
Practice Location Address:

3620 JOSEPH SIEWICK DR STE 203
FAIRFAX, VA
22033-1756

Practice Phone: 703-941-0267
Practice Fax:

1881542371 — AFM FAMILY & INTERNAL MEDICINE PC
Practice Location Address:

3620 JOSEPH SIEWICK DR STE 203
FAIRFAX, VA
22033-1756

Practice Phone: 703-941-0267
Practice Fax:

1689671414 — ADIL ZAHOOR GHAURI M.D.
Practice Location Address:

3620 JOSEPH SIEWICK DR , 306
FAIRFAX, VA
22033-1756

Practice Phone: 703-264-0521
Practice Fax: 703-860-0229

1659371342 — MS. BRIDGET COLLEEN WOLFE CRNA
Practice Location Address:

3620 JOSEPH SIEWICK DR , ANESTHESIA DEPARTMENT
FAIRFAX, VA
22033-1756

Practice Phone: 703-922-9501
Practice Fax: 703-295-9369

1083614218 — KEITH WILLIS LAWHORN MD
Practice Location Address:

3620 JOSEPH SIEWICK DR , SUITE 100
FAIRFAX, VA
22033-1756

Practice Phone: 703-810-5223
Practice Fax: 703-810-5403

1932195914 — JOHN J. MOYNIHAN M.D.
Practice Location Address:

3620 JOSEPH SIEWICK DR , SUITE 406
FAIRFAX, VA
22033-1756

Practice Phone: 703-359-8640
Practice Fax: 703-591-6105

Directions to “ CARMEN B AYALA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.