Provider Demographics
NPI:1710244389
Name:ETIENNE, CARINE ALCIDE (ARNP, CNM)
Entity Type:Individual
Prefix:MISS
First Name:CARINE
Middle Name:ALCIDE
Last Name:ETIENNE
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
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Mailing Address - Street 1:5827 CORPORATE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2000
Mailing Address - Country:US
Mailing Address - Phone:561-844-9443
Mailing Address - Fax:561-472-9692
Practice Address - Street 1:3441 SE WILLOUGHBY BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-219-1222
Practice Address - Fax:772-219-1270
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2018-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9310544367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife