OrganizationActive
Ettienne'S Premier Pediatric Care LLC
NPI 1841408697 · Pediatrics Physician · Bowie, MD
Provider details
- NPI number
- 1841408697
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suzette Ettienne, Medical Director(301) 390-7960
- License
- D0046373 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2905 Mitchellville Rd
Ste 115
Bowie, MD 20716-1385
Phone: (301) 390-7960
Fax: (301) 218-2800
Street-level locationGet directions
Mailing address
2905 Mitchellville Rd
Bowie, MD 20716-1385
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2013-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.