Individual
LOUISE HELENA EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1000
Mailing address
28 LITTLE YORK RD, WARWICK, NY 10990-2229
(201) 563-7382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
343324
NY
Other
Enumeration date
07/28/2018
Last updated
07/28/2018
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