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Steven Etienne, IDMT
Medical-Surgical Registered Nurse in Moody Afb, Georgia
NPI 1932543659

Steven Etienne is a Medical-Surgical Registered Nurse based in Moody Afb, GA and is specialized in Medical-Surgical. Steven Etienne practices in Moody Afb, GA and has the professional credentials of IDMT. The NPI Number for Steven Etienne is 1932543659 and holds a License No. E3054072 (Georgia).

The current practice location address for Steven Etienne is 3278 Mitchell Blvd, Moody Afb, GA and can be reached out via phone at 229-257-4466.

Location: 3278 Mitchell Blvd, Moody Afb, GA, 31699-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932543659
Provider Name
Steven Etienne
Credential
IDMT
Provider Entity Type
Individual
Gender
Male
Address
3278 Mitchell Blvd, Moody Afb, GA, 31699-1500
Phone Number
229-257-4466
Fax Number
Provider Enumeration Date
04/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3278 Mitchell Blvd
City
Moody Afb
State
Georgia
Zip
31699-1500
Phone Number
229-257-4466
Fax Number
person
Provider Business Mailing Address Details
Address
3278 Mitchell Blvd
City
Moody Afb
State
Georgia
Zip
31699-1500
Phone Number
229-257-4466
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
146M00000X
License No.
RN225389 (Georgia)
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
E3054072 (Georgia)
Definition
Definition to come...
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