Individual
MRS. NATIVIDA ETIENNE-MAULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
25410 INTERSTATE 45 N, SPRING, TX 77386-1351
(281) 367-1414
(281) 383-5686
Mailing address
25410 INTERSTATE 45 N, SPRING, TX 77386-1351
(281) 367-1414
(281) 383-5686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024168277
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP124126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346449543
—
VA
Enumeration date
07/17/2007
Last updated
02/07/2017
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