Individual provider · NPI-1

Gustavo Ayala Valle

Nurse's Aide · Phoenix, AZ

NPI number1538032172
StatusActive
Last updated in NPPESOct 1, 2025

Details

NPI
1538032172
Entity type
Individual (NPI-1)
Name
Gustavo Ayala Valle
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2025
Certification date
Oct 1, 2025
Last updated
Oct 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideLNA626147761AZYes

Practice location

7500 N Dreamy Draw Dr Ste 120
Phoenix, AZ 85020-4641

Phone 602-870-7470

Mailing address

7500 N Dreamy Draw Dr Ste 120
Phoenix, AZ 85020-4641

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