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Mrs. Idania Lissette Ettienne, ARNP
Family Nurse Practitioner in Brandon, Florida
NPI 1518355478

Idania Lissette Ettienne is a Family Nurse Practitioner based in Seffner, FL and is specialized in Family. Idania Lissette Ettienne practices in Brandon, FL and has the professional credentials of ARNP. The NPI Number for Idania Lissette Ettienne is 1518355478 and holds a License No. ARNP9211883 (Florida).

The current practice location address for Idania Lissette Ettienne is 907 N Parsons Ave, Brandon, FL and can be reached out via phone at 813-689-8020 and via fax at 813-689-8381.

Location: 907 N Parsons Ave, Brandon, FL, 33584-2522
person
Provider Profile Details
NPI Number
1518355478
Provider Name
Idania Lissette Ettienne
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
907 N Parsons Ave, Brandon, FL, 33584-2522
Phone Number
813-689-8020
Fax Number
813-689-8381
Provider Enumeration Date
12/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015021300 05 FL
institution
Provider Business Practice Location Address Details
Address
907 N Parsons Ave
City
State
Zip
33510-3107
Phone Number
813-689-8020
Fax Number
813-689-8381
person
Provider Business Mailing Address Details
Address
907 N Parsons Ave
City
State
Zip
33510-3107
Phone Number
813-689-8020
Fax Number
813-689-8381
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
ARNP9211883 (Florida)
Definition
Definition to come...
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