Javan Ettiene, - Nurse Practitioner in Miramar, FL

Javan Ettiene, is a Nurse Practitioner - Psychiatric/mental Health based in Miramar, Florida. Javan Ettiene is licensed to practice in Florida (license number APRN11013397) and his current practice location is 7904 Lasalle Blvd, Miramar, Florida. He can be reached at his office (for appointments etc.) via phone at (954) 934-4265.

NPI number for Javan Ettiene is 1174197164 and his current mailing address is 7904 Lasalle Blvd, Miramar, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174197164.

Contact Information

Javan Ettiene,
7904 Lasalle Blvd,
Miramar, FL 33023-4500
(954) 934-4265
Not Available

Map and Direction




Provider's Profile

Full NameJavan Ettiene
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location7904 Lasalle Blvd, Miramar, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174197164
  • Provider Enumeration Date: 05/14/2021
  • Last Update Date: 06/11/2021

Medical Identifiers

Medical identifiers for Javan Ettiene such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174197164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11013397 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Javan Ettiene is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Javan Ettiene,
7904 Lasalle Blvd,
Miramar, FL 33023-4500

Ph: (954) 934-4265
Javan Ettiene,
7904 Lasalle Blvd,
Miramar, FL 33023-4500

Ph: (954) 934-4265

Reviews and Comments


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