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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDA K ETAH, FNP

Active Sole Proprietor

IDA K ETAH, FNP is a Family Nurse Practitioner healthcare provider located in BRONX, New York. NPI 1497045371 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · BRONX, NY

Registration Details

NPI Number
1497045371
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2011 (15.317085425488 yrs)
Last Updated
Oct 22, 2019
License
F336219 (NY)
Sole Proprietor
Yes

Practice Information

Address
2960 MICKLE AVE
BRONX, NY, 104693304
Browse NY providers · Browse ZIP 10469
Phone
6466831949
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in BRONX, NY

Name Credential NPI
MISS YVONNE EISNER FNP 1033119011
MARGARET WALSH FNP 1619961802
BARBARA RUSSELL WILDFEIR FNP 1902890502
MS. SARA DEBORAH BACK FNP MPH 1104811991
DR. DARIE EHRLICH DNP 1821079740
SCHEVAUGHN CARR-CELESTINE FNP 1992779508
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.