Individual provider · Type 1 NPI
Edeline Etienne, NP
Adult Medicine Physician · Lake Worth, FL
NPI number
1932935202
Active
Practice location
7046 Peninsula Lake Ct
Lake Worth, FL 33467-7966
Mailing address
414 Maple Ave
Westbury, NY 11590-3257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 354778 (NY) |
| Family Nurse Practitioner | 363LF0000X | 11035664 (FL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in Lake Worth
About NPI 1932935202
Edeline Etienne, NP's National Provider Identifier is 1932935202, issued on Sep 12, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Lake Worth, FL. The record was last updated on Aug 24, 2026.