Legacy Mobile Primary Care, a Nursing P.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LEGACY MOBILE PRIMARY CARE, A NURSING P.C.

Practice address

666 Edgewater Blvd Apt 101
Foster City, CA 94404-2849

Phone

(347) 628-0147

NPI assigned

Jul 13, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miriam Etienne, DNP, FNP-BC

Title

President/Ceo

Phone

(347) 628-0147

Specialties & licenses 1

Addresses

Other names 1

• Legacy Mobile Primary Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1487573473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST # 16501",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 EDGEWATER BLVD APT 101",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042849",
            "telephone_number": "347-628-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MOBILE PRIMARY CARE, A NURSING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "347-628-0147",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Mobile Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joo Hyun Lee
• Joyce Chin Lee, PHARM. D.
• Linda H Lee, DMD, MD
• Lisa Lee, OTR/L
• Vincent Lee, AMFT
• Henry F. Lenartz, M.D.
• Harry Lew, RPH
• Julienne J. Lew, NP
• Wing Shan Wendy Li
• Lifecode, Inc

• Family Nurse Practitioner in Foster City, CA
• Providers in Foster City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.