| Doctor Name: | CELINA MARIE AYALA |
| NPI Number: | 1003152232 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 3465 |
| Business Practice Address: | 8080 Park Meadows Dr. Lonetree, CO - 801242558 |
| Business Phone Number: | 7204939006 |
| Business Fax Number: | 8007339406 |
| Mailing Address: | 8080 Park Meadows Dr., LONE TREE |
| State: | CO |
| Postal Code: | 801242558 |
| Phone Number: | 3033468828 |
| Fax Number: | 3033460407 |
| NPI Enumeration Date: | 12/16/2012 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 3465 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |