BREEZETTA LOWANET ETIENNE PA-C NPI 1659361244

NPI Information

  • NPI: 1659361244
  • Provider Name: BREEZETTA LOWANET ETIENNE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 1599 J ST
    GRAND FORKS AFB, ND
    ZIP 58205
  • Phone: (701) 747-6687

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NPI Details

Breezetta Lowanet Etienne, PA-C is a medical physician assistant in Grand Forks Afb, ND. Breezetta Lowanet Etienne, PA-C NPI is 1659361244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1599 J ST
GRAND FORKS AFB, ND
ZIP 58205-306
Phone: (701) 747-6687

The enumeration date for this NPI number is 10/25/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical815MINNESOTANo
2363AM0700XPhysician AssistantMedicalPAC0333NORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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