Individual
LOUISE AKA EZOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
855 3RD AVE, NEW YORK, NY 10022-6609
(929) 650-3990
Mailing address
855 3RD AVE, NEW YORK, NY 10022-6609
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01078200
NJ
363L00000X
Nurse Practitioner
APRN11041571
FL
363L00000X
Nurse Practitioner
Primary
SP022076
PA
Other
Enumeration date
06/23/2020
Last updated
11/10/2025
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