CHARMAINE GAIL ETIENNE NPI 1114461902

NPI Information

NPI: 1114461902
Provider Name: CHARMAINE GAIL ETIENNE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: URGENT CARE CENTERS OF BREVARD COUNTY LLC

PECOS Registration: Yes

Address:
6700 N ANDREWS AVE
FORT LAUDERDALE, FL
ZIP 33309
Phone: (954) 714-6346
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Charmaine Gail Etienne is a family nurse practitioner in Fort Lauderdale, FL with 8 years of experience. Charmaine Gail Etienne NPI is 1114461902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6700 N ANDREWS AVE
FORT LAUDERDALE, FL
ZIP 33309-204
Phone: (954) 714-6346
Fax: (186) 688-8872

The NPI 1114461902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 4/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	9242828	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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