Individual provider · Type 1 NPI
Breezetta Lowanet Etienne, PA-C
Medical Physician Assistant · Grand Forks Afb, ND
NPI number
1659361244
Active
Practice location
1599 J St
Grand Forks Afb, ND 58205-6306
Mailing address
1600 10th St SE
East Grand Forks, MN 56721-2252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PAC0333 (ND) |
| Medical Physician Assistant | 363AM0700X | 815 (MN) |
Medical Physician Assistant: Definition to come...
29 other providers at this address
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- Abbey Marie Schipper, LPNLicensed Practical Nurse Grand Forks Afb, ND NPI 1881977080
- Alishia Dawn Salyer, PhDCounseling Psychologist Grand Forks Afb, ND NPI 1316532161
- Bryan Keith Payne, MDChild & Adolescent Psychiatry Physician Grand Forks Afb, ND NPI 1295050565
- Charles Edward Holtz Jr., IDMTIndependent Duty Medical Technicians Grand Forks Afb, ND NPI 1104050657
- Christopher Edward Franken, IDMTIndependent Duty Medical Technicians Grand Forks Afb, ND NPI 1306172481
- Colin M. Riley, PAMedical Physician Assistant Grand Forks Afb, ND NPI 1861212219
- Dolores Walls, MSW, LCSWClinical Social Worker Grand Forks Afb, ND NPI 1902979107
- Doreen Marie Hinsz, PHARM DPharmacist Grand Forks Afb, ND NPI 1841453313
- Dustin FrizeRegistered Dietitian Grand Forks Afb, ND NPI 1831226570
- Eve Marie Holton, PhDClinical Psychologist Grand Forks Afb, ND NPI 1548349616
Other medical physician assistant providers in Grand Forks Afb
About NPI 1659361244
Breezetta Lowanet Etienne, PA-C's National Provider Identifier is 1659361244, issued on Oct 25, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Forks Afb, ND. The record was last updated on Jul 13, 2026.