Provider Demographics
NPI:1902798598
Name:AMIR, KAYLA LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:LYNN
Last Name:AMIR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 SHEPHERDS LN APT 350
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2791
Mailing Address - Country:US
Mailing Address - Phone:973-725-2290
Mailing Address - Fax:
Practice Address - Street 1:25 ROCKWOOD PL STE 335
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4959
Practice Address - Country:US
Practice Address - Phone:877-854-8274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15258700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner