Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etienna Fanord

Individual provider Licensed Practical Nurse · NPI 1104120591

Etienna Fanord is a Licensed Practical Nurse in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

1809 Nostrand Ave Ste 2
Brooklyn, NY 11226-7181
Phone: (718) 421-4224
Fax: (718) 421-4774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 302194-1 (NY)

Record details

NPI number1104120591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 29, 2010
Last updated in NPPESDecember 29, 2010

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