Mrs Idania Lissette Ettienne, ARNP | |
907 N Parsons Ave, Brandon, FL 33510-3107 | |
(813) 689-8020 | |
(813) 689-8381 |
Full Name | Mrs Idania Lissette Ettienne |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 907 N Parsons Ave, Brandon, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518355478 | NPI | - | NPPES |
015021300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9211883 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Brandon Regional Hospital | Brandon, FL | Hospital |
Tampa General Hospital | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inpatient Specialists Group | 0345584835 | 55 |
Entity Name | Inpatient Consultants Of Florida, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
Entity Name | Inpatient Specialists Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073008579 PECOS PAC ID: 0345584835 Enrollment ID: O20181211001542 |
Mailing Address | Practice Location Address |
---|---|
Mrs Idania Lissette Ettienne, ARNP 6806 Bloomfield Grove Pl, Seffner, FL 33584-2522 Ph: (813) 418-0717 | Mrs Idania Lissette Ettienne, ARNP 907 N Parsons Ave, Brandon, FL 33510-3107 Ph: (813) 689-8020 |
Mindy Connors, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Eichenfeld Dr, Brandon, FL 33511 Phone: 813-684-6000 | |
Dr. Shawn Blouin, DNP, ARNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 | |
Mrs. Kimberly Mcfarling Davis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1771 S Kings Ave, Brandon, FL 33511 Phone: 813-345-4044 | |
Derek Hoffert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 | |
Herbert Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1307 Providence Rd, Brandon, FL 33511 Phone: 813-655-4646 Fax: 813-655-4113 | |
Maylin Barrios, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 604 Medical Care Dr, Brandon, FL 33511 Phone: 813-448-2081 | |
Mrs. Linda Jean Hubsmith, ARNP(F-PC FMHNP) Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Nikki View Dr, Brandon, FL 33511 Phone: 813-947-3050 Fax: 813-436-0809 |