Provider Demographics
NPI:1689307688
Name:NAICHE, AYESHA ZANIRA (LVN)
Entity Type:Individual
Prefix:
First Name:AYESHA
Middle Name:ZANIRA
Last Name:NAICHE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:AYESHA
Other - Middle Name:ZANIRA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:5599 RALSTON ST UNIT 203
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6140
Mailing Address - Country:US
Mailing Address - Phone:805-561-0715
Mailing Address - Fax:
Practice Address - Street 1:811 W TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-5400
Practice Address - Country:US
Practice Address - Phone:805-265-4894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP03477400164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse