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Individual
NAYANKA ETIENNE
Active
Individual
NAYANKA ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
MD493748
PA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MMD.92572
SC
Other
Enumeration date
04/06/2021
Last updated
08/21/2026
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