Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDELINE ETIENNE, NP
Active Sole ProprietorEDELINE ETIENNE, NP is a Adolescent Medicine healthcare provider located in LAKE WORTH, Florida. NPI 1932935202 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LAKE WORTH, FL
Registration Details
- NPI Number
- 1932935202
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2024 (1.9092275155257 yrs)
- Last Updated
- Sep 12, 2024
- License
-
354778 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7046 PENINSULA LAKE CTLAKE WORTH, FL, 334677966Browse FL providers · Browse ZIP 33467
- Phone
- 5615236963
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in LAKE WORTH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ZAKIYA BOMANI MOYENDA | M.D. | 1073878138 |
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.