Individual
MRS. AYESHA ETIENNA LOUISAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 ROUTE 211 E, MIDDLETOWN, NY 10940-2270
(845) 524-1753
Mailing address
470 ROUTE 211 E STE 24, MIDDLETOWN, NY 10940-2252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
353998
NY
363LF0000X
Family Nurse Practitioner
353998
NY
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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