Individual provider · Type 1 NPI
Ida K. Etah, FNP
Family Nurse Practitioner · Bronx, NY
NPI number
1497045371
Active
Practice location
2960 Mickle Ave
Bronx, NY 10469-3304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F336219 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1497045371
Ida K. Etah, FNP's National Provider Identifier is 1497045371, issued on Apr 13, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Oct 22, 2019.