Provider Demographics
NPI:1689978504
Name:ETIENNE, YOLETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:YOLETTE
Middle Name:
Last Name:ETIENNE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 PLYMOUTH SORRENTO RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-5413
Mailing Address - Country:US
Mailing Address - Phone:407-394-7301
Mailing Address - Fax:
Practice Address - Street 1:3500 PLYMOUTH SORRENTO RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-5413
Practice Address - Country:US
Practice Address - Phone:407-394-7301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home