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Javan Ettiene
Psychiatric/Mental Health Nurse Practitioner in Miramar, Florida
NPI 1174197164

Javan Ettiene is a Psychiatric/Mental Health Nurse Practitioner based in Miramar, FL and is specialized in Psychiatric/Mental Health. Javan Ettiene practices in Miramar, FL. The NPI Number for Javan Ettiene is 1174197164 and holds a License No. APRN11013397 (Florida).

The current practice location address for Javan Ettiene is 7904 Lasalle Blvd, Miramar, FL and can be reached out via phone at 954-934-4265.

Location: 7904 Lasalle Blvd, Miramar, FL, 33023-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174197164
Provider Name
Javan Ettiene
Credential
Provider Entity Type
Individual
Gender
Male
Address
7904 Lasalle Blvd, Miramar, FL, 33023-4500
Phone Number
954-934-4265
Fax Number
Provider Enumeration Date
05/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7904 Lasalle Blvd
City
Miramar
State
Florida
Zip
33023-4500
Phone Number
954-934-4265
Fax Number
person
Provider Business Mailing Address Details
Address
7904 Lasalle Blvd
City
Miramar
State
Florida
Zip
33023-4500
Phone Number
954-934-4265
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APRN11013397 (Florida)
Definition
Definition to come...
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