Provider Demographics
NPI:1609249580
Name:PYKA, GAYLA COATNEY (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:GAYLA
Middle Name:COATNEY
Last Name:PYKA
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:GAYLA
Other - Middle Name:BREANNE
Other - Last Name:COATNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:4606 MOSS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHIPLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32428-7307
Mailing Address - Country:US
Mailing Address - Phone:850-819-0395
Mailing Address - Fax:
Practice Address - Street 1:1760 E KEN PRATT BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-5311
Practice Address - Country:US
Practice Address - Phone:720-718-8222
Practice Address - Fax:720-718-0954
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0102006-C-NP363LF0000X
TNRN0000204271163W00000X
FLRN9344397163W00000X
TXAP141259363LF0000X
FL9344397363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse