Etienne, Samantha

Etienne, Samantha is an individual health care provider with primary practice located at 22395 Edgewater Dr , Port Charlotte FL 33980-2012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Etienne, Samantha can be contacted via phone (941) 766-7222.

Contact Information

Primary practice address
22395 Edgewater Dr Port Charlotte FL 33980-2012
Phone: (941) 766-7222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11001281 Florida

Profile Details

NPI number 1801430780
LBN Legal business name Etienne, Samantha
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2019
Last updated Nov 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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