Individual provider · NPI-1

Cassidy Ann Ayala

Nurse Practitioner · Billings, MT

NPI number1083354500
StatusActive
Last updated in NPPESApr 14, 2022

Details

NPI
1083354500
Entity type
Individual (NPI-1)
Name
Cassidy Ann Ayala
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2022
Certification date
Apr 14, 2022
Last updated
Apr 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner192455MTYes

Practice location

1540 Maurine St
Billings, MT 59105-4240

Phone 307-630-9776

Mailing address

7402 Hawthorne Dr
Cheyenne, WY 82009-1087

Phone 307-630-9776

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