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DR. CHERYL-ANN S ETTIENNE ED.D, MS, AGPCNP
NPI 1649656992
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since August 09, 2015
440 LENOX RD APT 5K, BROOKLYN, NY 11203(718) 926-7934 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 29, 2021, Aug 14, 2016 (2 updates tracked since 2016).

About Dr. Cheryl-ann S Ettienne Ed.d, Ms, Agpcnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHERYL-ANN S ETTIENNE ED.D, MS, AGPCNP (NPI 1649656992) is an individual adult health provider in Brooklyn, New York, licensed in New York (F306969-1) and active in the NPI registry since August 2015. She maintains a secondary practice location in Flushing.

NPPES Registry Identity

NPI1649656992
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. CHERYL-ANN S ETTIENNECredential: ED.D, MS, AGPCNP
Location Address440 LENOX RD APT 5KBrooklyn, NY 11203-2045
Mailing Address440 Lenox Rd Apt 5kBrooklyn, NY 11203-2045 · (718) 926-7934
Phone(718) 926-7934
Sole ProprietorYes
Enumeration DateAugust 9, 2015
Last NPPES UpdateJune 29, 20212 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1649656992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F306969-1
440 LENOX RD APT 5K, Brooklyn, NY 11203
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Secondary Practice Location 1

Location 116707 29th Ave Apt 1Flushing, NY 11358-1501 · Phone (718) 353-6283 · Fax (718) 353-0173

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE BROOMES NURSE PRACTITIONER
Nurse Practitioner (Family)
440 LENOX RD APT 5K
BROOKLYN, NY 11203
Kings County (646) 247-7843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheryl-ann Ettienne's NPI number?

The NPI number for Cheryl-ann Ettienne is 1649656992. It was assigned to this individual provider in the NPPES registry on August 9, 2015.

Where is Cheryl-ann Ettienne located?

Cheryl-ann Ettienne practices at 440 Lenox Rd Apt 5K, Brooklyn, NY 11203. The listed phone number is (718) 926-7934.

What is Cheryl-ann Ettienne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Cheryl-ann Ettienne was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.