Individual provider · NPI-1
Julouse Etienne, ARNP
Registered Nurse, General Practice · Fort Pierce, FL
NPI number1669947164
StatusActive
Last updated in NPPESOct 10, 2018
Details
- NPI
- 1669947164
- Entity type
- Individual (NPI-1)
- Name
- Julouse Etienne
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2018
- Last updated
- Oct 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 9344569 | FL | Yes |
Other names
- Julouse Etienne (Other Name)
Practice location
1700 S 23rd StFort Pierce, FL 34950-4899
Phone 772-461-4000
Mailing address
5574 55th AveVero Beach, FL 32967-2460
Phone 954-592-6977
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