MEDICARE: MR. ALLEN DEWAYNE AYERS NP-C

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	CNP-03066	NM

General Provider Information

NPI Number	:	1124573621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALLEN DEWAYNE AYERS NP-C

Provider Business Mailing Address
First Line	:	PO BOX 797
Second Line	:
City	:	ARTESIA
State	:	NM
Zip	:	88211-0797
Country	:	US
Telephone Number	:	758-087-9985
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 797
Second Line	:
City	:	ARTESIA
State	:	NM
Zip	:	88211-0797
Country	:	US
Telephone Number	:	575-254-1852
Fax Number	:

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

Provider Enumeration Date	:	08/25/2016
Last Update Date	:	08/06/2025

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