Individual
MARIE K. ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., MPH
Contact information
Practice address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(305) 470-5846
Mailing address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(035) 470-5846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3198532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720171895
NPI STATE OF FLORIDA, DBA: MIAMI-DADE COUNTY HEALTH DEPARTMENT
FL
Enumeration date
01/14/2011
Last updated
07/10/2012
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