Doctor Name: | VALENCIA ETIENNE-MARSEILLE |
NPI Number: | 1083006068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN,FNP-C |
License Number: | RN185846 |
Business Practice Address: | 2897 Dolostone Way Dacula, GA - 300197661 |
Business Phone Number: | 9176070732 |
Business Fax Number: | |
Mailing Address: | 2897 Dolostone Way, DACULA |
State: | GA |
Postal Code: | 300197661 |
Phone Number: | 9176070732 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2015 |
NPI Last Update Date: | 02/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN185846 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |