Marie F Etienne
Licensed Practical Nurse in Mill Neck, NY. Individual provider (NPI-1).
NPI number1508045501
StatusActive
Last updated in NPPESOct 26, 2007
Details
- NPI
- 1508045501
- Entity type
- Individual (NPI-1)
- Name
- Marie F Etienne
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2007
- Last updated
- Oct 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 199161-1 | NY | Yes |
Other names
- Marie F Jacques (Former Name)
Practice location
158 Horseshoe RdMill Neck, NY 11765
Phone 516-624-8797
Mailing address
51 Southgate RdValley Stream, NY 11581
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