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General NPI Number Information
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NPI Number | 1619408341
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Entity Type | Individual
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Provider Name | NADIA LAVERNE ETIENNE APRN
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Gender | Female
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 38135 MARKET SQUARE DR
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7505
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Country | US
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Telephone | 813-778-0425
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Fax | 813-377-1683
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Provider Business Mailing Address
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Address Line | 38135 MARKET SQ
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7539
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Country | US
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Telephone | 813-780-8692
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Fax | 813-355-5037
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP9167575
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9167575
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9167575
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License Number State | FL
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