Individual
CAROL JEAN ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
7722 W STATE ROAD 66, NEWBURGH, IN 47630
(812) 853-6166
Mailing address
7722 W STATE ROAD 66, NEWBURGH, IN 47630
(812) 853-6166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003096A
IN
Other
Enumeration date
09/28/2009
Last updated
09/13/2018
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