Lyza Tennille Gaines, CRNP
NPI #1518912369 in Fort Payne, Alabama
Provider Information
- NPI Number
- 1518912369
- Entity Type
- Individual
- Name
- Lyza Tennille Gaines, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CRNP
- Enumeration Date
- May 23, 2006
- Last Updated
- Aug 21, 2025
Practice Location
- Address
- 415 MEDICAL CENTER DR SW
- City
- Fort Payne
- State
- Alabama
- ZIP Code
- 35968-3421
- Phone
- (256) 997-2820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
| Nurse Practitioner - Family — Family |
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