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

Ettienne's Premier Pediatric Care LLC

Organization Pediatrics Physician · NPI 1841408697

Ettienne's Premier Pediatric Care LLC provides Pediatrics Physician services in Bowie, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2905 Mitchellville Rd Ste 115
Bowie, MD 20716-1385 Not confirmed with CMS for 12 years — call before visiting
Phone: (301) 390-7960
Fax: (301) 218-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence D0046373 (MD)

Record details

NPI number1841408697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzette Ettienne — Medical Director · (301) 390-7960
NPI enumeratedMay 17, 2007
Last updated in NPPESDecember 12, 2013
Mailing address2905 Mitchellville Rd, Ste 115, Bowie, MD 20716-1385

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