Dr. Cheryl-Ann S Ettienne, Ed.D, MS, AGPCNP
Nurse Practitioner, Adult Health in Brooklyn, NY. Individual provider (NPI-1).
NPI number1649656992
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1649656992
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cheryl-Ann S Ettienne
- Credential
- Ed.D, MS, AGPCNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2015
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F306969-1 | NY | Yes |
Practice location
440 Lenox Rd Apt 5kBrooklyn, NY 11203-2045
Phone 718-926-7934
Mailing address
440 Lenox Rd Apt 5kBrooklyn, NY 11203-2045
Phone 718-926-7934
Other practice locations
16707 29th Ave Apt 1
Flushing, NY 11358-1501
Flushing, NY 11358-1501
Phone 718-353-6283 · Fax 718-353-0173
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