Healthcare Provider Details

I. General information

NPI: 1265119929
Provider Name (Legal Business Name): SABRINA ETIENNE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 INTERNATIONAL DR STE 310
SILVER SPRING MD
20906-1550
US

IV. Provider business mailing address

7809 WISCONSIN AVE
BETHESDA MD
20814-3523
US

V. Phone/Fax

Practice location:
  • Phone: 301-598-9717
  • Fax:
Mailing address:
  • Phone: 804-869-1447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11025999
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR275383
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: