Individual provider · Type 1 NPI
Etyane Ayana
Family Nurse Practitioner · Lakeville, MN
NPI number
1972765972
Active
Practice location
17305 Cedar Ave S Ste 220
Lakeville, MN 55044-3903
Fax (952) 236-0138
Mailing address
20787 Gemini Trl
Lakeville, MN 55044-2515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R178274-1 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | F12220253 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972765972
Etyane Ayana's National Provider Identifier is 1972765972, issued on Jun 30, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lakeville, MN. The record was last updated on Jan 17, 2023.