Individual
ESMA F ETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 WESTON RD, WESTON, FL 33331-3602
(954) 689-5000
Mailing address
18459 PINES BLVD # 241, PEMBROKE PINES, FL 33029-1400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3071752
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
3071752
FL
Other
Enumeration date
02/08/2016
Last updated
03/17/2018
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