Individual provider · Type 1 NPI
Idania Lissette Ettienne, ARNP
Family Nurse Practitioner · Brandon, FL
NPI number
1518355478
Active
Practice location
907 N Parsons Ave
Brandon, FL 33510-3107
Fax (813) 689-8381
Mailing address
6806 Bloomfield Grove Pl
Seffner, FL 33584-2522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | ARNP9211883 (FL) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Maylin Barrios, APRNFamily Nurse Practitioner Brandon, FL NPI 1023720364
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- Theresa Marie Webb, APRNFamily Nurse Practitioner Brandon, FL NPI 1033652615
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- Toni A. RolleFamily Nurse Practitioner Brandon, FL NPI 1033972625
About NPI 1518355478
Idania Lissette Ettienne, ARNP's National Provider Identifier is 1518355478, issued on Dec 30, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brandon, FL. The record was last updated on Aug 23, 2022.