person
Breezetta Lowanet Etienne, PA-C
Medical Physician Assistant in Grand Forks Afb, North Dakota
NPI 1659361244

Breezetta Lowanet Etienne is a Medical Physician Assistant based in East Grand Forks, ND and is specialized in Medical. Breezetta Lowanet Etienne practices in Grand Forks Afb, ND and has the professional credentials of PA-C. The NPI Number for Breezetta Lowanet Etienne is 1659361244 and holds a License No. PAC0333 (North Dakota).

The current practice location address for Breezetta Lowanet Etienne is 1599 J St, Grand Forks Afb, ND and can be reached out via phone at 701-747-6687. You can also correspond with Breezetta Lowanet Etienne through the mailing address at 1600 10TH ST SE, EAST GRAND FORKS, MN - 56721-2252 (mailing address contact number: 218-773-1492).

Location: 1599 J St, Grand Forks Afb, ND, 56721-2252
person
Provider Profile Details
NPI Number
1659361244
Provider Name
Breezetta Lowanet Etienne
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1599 J St, Grand Forks Afb, ND, 56721-2252
Phone Number
701-747-6687
Fax Number
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1599 J St
City
State
Zip
58205-6306
Phone Number
701-747-6687
Fax Number
person
Provider Business Mailing Address Details
Address
1600 10Th St Se
City
State
Zip
56721-2252
Phone Number
218-773-1492
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAC0333 (North Dakota)
Definition
Definition to come...
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