Healthcare Provider Details

I. General information

NPI: 1568397404
Provider Name (Legal Business Name): MRS. HANNAH NICHOLE AYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 ROCKFORD ST STE 1
MOUNT AIRY NC
27030-5323
US

IV. Provider business mailing address

128 BELVUE DR
MOUNT AIRY NC
27030-5189
US

V. Phone/Fax

Practice location:
  • Phone: 336-415-1879
  • Fax: 336-648-8549
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30005308
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: