# MRS. NATIVIDA ETIENNE-MAULE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346449543
- **Gender:** F
- **Credential:** DNP, FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 0024168277 | VA | — |
| 363LP2300X | Primary Care Nurse Practitioner | AP124126 | TX | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 02/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1346449543 | — | VA |