Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY ETIENNE, PHYSICIAN ASSISTANT
Active Sole ProprietorGREGORY ETIENNE, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in SIERRA VISTA, Arizona. NPI 1669180915 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SIERRA VISTA, AZ
Registration Details
- NPI Number
- 1669180915
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2022 (3.7258185843111 yrs)
- Last Updated
- Jun 4, 2024
- Licenses
-
1447 (PR)10192 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
126 S CORONADO DR STE BSIERRA VISTA, AZ, 856356300Browse AZ providers · Browse ZIP 85635
- Phone
- 7866188554
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SIERRA VISTA, AZ
| Name | Credential | NPI |
|---|---|---|
| HEATHER D JONES | PA-C | 1255397378 |
| MS. ELIZABETH A REESE | PA-C | 1992895452 |
| MRS. ANGELA ALLRED | PA-C | 1346329844 |
| MRS. ABBY MARIE ALVAREZ | — | 1457753816 |
| MR. PAUL ANTHONY SHAKSTAD JR. | PA-C | 1568974632 |
| MCKAY REES TINGEY | PA-C | 1598367922 |
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.