Provider Demographics
NPI:1912707670
Name:AUSTIN, ALAYNA FAITH (ACNPC-AG)
Entity type:Individual
Prefix:
First Name:ALAYNA
Middle Name:FAITH
Last Name:AUSTIN
Suffix:
Gender:
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 JOYNER RD
Mailing Address - Street 2:
Mailing Address - City:CASTOR
Mailing Address - State:LA
Mailing Address - Zip Code:71016-4244
Mailing Address - Country:US
Mailing Address - Phone:318-471-1664
Mailing Address - Fax:
Practice Address - Street 1:1633 MARVEL ST
Practice Address - Street 2:
Practice Address - City:COUSHATTA
Practice Address - State:LA
Practice Address - Zip Code:71019-9022
Practice Address - Country:US
Practice Address - Phone:318-932-2170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA207711363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care