Lyza Tennille Gaines is a Fort Payne, Alabama based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Lyza Tennille Gaines is 1-091459 for Pediatrics in Alabama. Her current practice location is 415 Medical Center Dr Sw, Fort Payne. Patients can reach her at 256-997-2820 or can fax her at 256-997-2890. Lyza Tennille Gaines is CRNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1518912369. Lyza Tennille Gaines specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Lyza Tennille Gaines speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Lyza Tennille Gaines
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
CRNP
Practice Address:
415 Medical Center Dr Sw, Fort Payne, Alabama, 35968-3421
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1518912369
NPI Enumeration Date:
23 May, 2006
NPI Last Update On:
26 Sep, 2012
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lyza Tennille Gaines are as mentioned below.
License Number
Specialization
State
Status
1-091459
Pediatrics
Alabama
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lyza Tennille Gaines such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
051533716
Medicaid
Alabama
515-33716
Other
Alabama
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lyza Tennille Gaines 415 Medical Center Dr Sw, Fort Payne, Alabama
Zip:
35968-3421
Phone Number:
256-997-2820
Fax Number:
256-997-2890
Patients can reach Lyza Tennille Gaines at 415 Medical Center Dr Sw, Fort Payne, Alabama or can call to book an appointment on 256-997-2820.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.