Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY C ETIENNE, PA
Active Sole ProprietorGREGORY C ETIENNE, PA is a Physician Assistant healthcare provider located in PHOENIX, Arizona. NPI 1497384168 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PHOENIX, AZ
Registration Details
- NPI Number
- 1497384168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2020 (6.3413832184577 yrs)
- Last Updated
- Feb 7, 2025
- Licenses
-
154 (PR)8320 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
444 W OSBORN RD STE 200PHOENIX, AZ, 850133817Browse AZ providers · Browse ZIP 85013
- Phone
- 4802239314
- Fax
- 4809239155
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| JEANNETTE VAUGHN-DOTTERER | DMSC, PA-C | 1407859416 |
| MICHAEL D RICHARDS | PA | 1306840707 |
| LINDSEY A STEBER | PA-C | 1568468114 |
| DEBORAH JOYCE LADER | P.A.-C. | 1720086994 |
| DONDII DELGADO | PA-C | 1033119532 |
| DEANNA SINGER | P.A.-C | 1467452508 |
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.