IDANIA LISSETTE ETTIENNE

BRANDON, FL
NPI1518355478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9211883)
Enumeration Date2014-12-30
Last Update Date2022-08-23
Business Address
Mrs. IDANIA LISSETTE ETTIENNE ARNP
907 N PARSONS AVE
BRANDON, FL 33510-3107
Phone number: 813-689-8020
Mailing Address
Mrs. IDANIA LISSETTE ETTIENNE ARNP
6806 BLOOMFIELD GROVE PL
SEFFNER, FL 33584-2522
Phone number: 813-418-0717