| Carmen B Ayala, | |
| 
					7617 Little River Tpke, Suite 710, Annandale, VA 22003-2603  | |
| (703) 941-0267 | |
| Not Available | 
| Full Name | Carmen B Ayala | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 7617 Little River Tpke, Annandale, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649426750 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024167945 (Virginia) | Primary | 
| Entity Name | Privia Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carmen B Ayala, 7617 Little River Tpke, Suite 710, Annandale, VA 22003-2603 Ph: () -  | Carmen B Ayala, 7617 Little River Tpke, Suite 710, Annandale, VA 22003-2603 Ph: (703) 941-0267  | 
Dr. James Gavin Wallace-mercado, DNP, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4540b John Marr Dr, Annandale, VA 22003 Phone: 703-941-6757  | |
Anais U Schultz,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7895 Patriot Dr, Annandale, VA 22003 Phone: 000-000-0000  | |
Stacey L Merritt Baker, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6923 Colburn Dr, Annandale, VA 22003 Phone: 571-730-0332  | |
Courtney Patricia Dannahey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7617 Little River Tpke Ste 710, Annandale, VA 22003 Phone: 703-941-0267  | |
Ms. Carmella Simmons, MS RN FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7215 Jayhawk St, Annandale, VA 22003 Phone: 703-914-0222  | |
Rachel Schwartz,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7305 Beverly Manor Dr, Annandale, VA 22003 Phone: 703-869-2645  | |
Mrs. Mary Patricia White, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7611 Little River Tpke, Suite 108, Annandale, VA 22003 Phone: 703-658-7060 Fax: 703-658-3150  |