Individual
STEPHANIE ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
185 DEVONSHIRE ST STE 501, BOSTON, MA 02110-1415
(617) 681-8107
(781) 494-5696
Mailing address
185 DEVONSHIRE ST STE 501, BOSTON, MA 02110-1415
(617) 681-8107
(781) 494-5696
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2334965
MA
Other
Enumeration date
03/03/2023
Last updated
04/25/2026
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