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SAMANTHA ETIENNE APRN
NPI 1801430780
Nurse Practitioner - Gerontology in Port Charlotte, FL

Active since November 04, 2019
22395 EDGEWATER DR, PORT CHARLOTTE, FL 33980(941) 766-7222 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Etienne Aprn NPPES

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

SAMANTHA ETIENNE APRN (NPI 1801430780) is an individual gerontology provider in Port Charlotte, Florida, licensed in Florida (APRN11001281) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1801430780
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSAMANTHA ETIENNECredential: APRN
Location Address22395 EDGEWATER DRPort Charlotte, FL 33980-2012
Mailing Address4371 Veronica S Shoemaker BlvdFort Myers, FL 33916-2216 · (239) 274-8200
Phone(941) 766-7222
Sole ProprietorNo
Enumeration DateNovember 4, 2019
✔ NPI 1801430780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11001281
22395 EDGEWATER DR, Port Charlotte, FL 33980
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Other Providers at the Same Location NPPES 20

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

DR. ARSH SINGH M.D.
Internal Medicine (Medical Oncology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Charlotte County (941) 766-7222
DR. CHRISTOPHER F. LOBO MD
Internal Medicine (Medical Oncology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Charlotte County (941) 766-7222
AZEMINA DURGUTOVIC APRN
Nurse Practitioner
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Charlotte County (941) 766-7222
TAMMY BENNETT APRN
Nurse Practitioner (Family)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Charlotte County (941) 766-7222
MS. KAREN RUDOLPH APRN
Nurse Practitioner (Family)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Charlotte County (941) 766-7222
JAE CHUNG M.D.
Internal Medicine (Medical Oncology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Charlotte County (941) 766-7222
BARBARA LEE RIDDLE APRN
Nurse Practitioner (Gerontology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Charlotte County (941) 766-7222
NICHOLAS JOHN NEWBOLD JR. ARNP
Nurse Practitioner (Gerontology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Charlotte County (941) 766-7222

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 Samantha Etienne's NPI number?

The NPI number for Samantha Etienne is 1801430780. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Samantha Etienne located?

Samantha Etienne practices at 22395 Edgewater Dr, Port Charlotte, FL 33980. The listed phone number is (941) 766-7222.

What is Samantha Etienne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Samantha Etienne was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.