DR. MIRIAM ETIENNE DNP FNP-BC NPI 1336761378

NPI Information

  • NPI: 1336761378
  • Provider Name: DR. MIRIAM ETIENNE, DNP, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1021 REDDY FARM RD
    GRAYSON, GA
    ZIP 30017
  • Phone: (347) 628-0147

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NPI Details

DR. Miriam Etienne, DNP, FNP-BC is a family nurse practitioner in Grayson, GA with 10 years of experience. DR. Miriam Etienne, DNP, FNP-BC NPI is 1336761378. 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:

1021 REDDY FARM RD
GRAYSON, GA
ZIP 30017-754
Phone: (347) 628-0147

The NPI 1336761378 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 5/13/2020 and was last updated on 3/17/2021.

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
1363LF0000XNurse PractitionerFamily2019055030GEORGIAYes

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: 11/21/2025

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