Individual
CHARMAINE GAIL ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 N ANDREWS AVE, FORT LAUDERDALE, FL 33309-2204
(954) 714-6346
(186) 688-8872
Mailing address
265 NW 80TH AVE, MARGATE, FL 33063-4735
(954) 290-8752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9242828
FL
Other
Enumeration date
12/13/2016
Last updated
04/01/2020
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