Provider Demographics
NPI:1801078522
Name:AYSENNE, AIMEE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:MARIE
Last Name:AYSENNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:AYSENNE
Other - Last Name:MONTERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:131 S ROBERTSON ST
Mailing Address - Street 2:BOX 8047
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2807
Mailing Address - Country:US
Mailing Address - Phone:225-806-2325
Mailing Address - Fax:504-988-5793
Practice Address - Street 1:131 S ROBERTSON ST
Practice Address - Street 2:BOX 8047
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2807
Practice Address - Country:US
Practice Address - Phone:225-806-2325
Practice Address - Fax:504-988-5793
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0000000000000207R00000X
LAMD.2033262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine