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

STEVEN ETIENNE, IDMT

Active

STEVEN ETIENNE, IDMT is a Emergency Medical Technician, Paramedic healthcare provider located in MOODY AFB, Georgia. NPI 1932543659 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Paramedic · MOODY AFB, GA

Registration Details

NPI Number
1932543659
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2013 (13.275926324499 yrs)
Last Updated
Apr 24, 2013
Licenses
E3054072 (GA)
RN225389 (GA)

Practice Information

Address
3278 MITCHELL BLVD
MOODY AFB, GA, 316991500
Browse GA providers · Browse ZIP 31699
Phone
2292574466
Primary Specialty
Emergency Medical Technician, Paramedic
146M00000X
Additional Specialty
Medical-Surgical Nurse
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.