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Individual
DR. STEFANIE LINETTE ETIENNE
Active
Individual
DR. STEFANIE LINETTE ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200301458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13928
BLUE CROSS BLUE SHIELD
—
01
—
2043012A
MEDICARE
NC
01
—
2547578
UNITED HEALTH CARE
—
01
—
331532
WELL PATH
—
05
—
5902190
—
NC
01
—
6216659
CIGNA
—
01
—
80109621
RAILROAD MEDICARE
—
Enumeration date
09/20/2006
Last updated
01/13/2009
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