Breezetta Lowanet Etienne, PA-C | |
1599 J St, Grand Forks Afb, ND 58205-6306 | |
(701) 747-6687 | |
Not Available |
Full Name | Breezetta Lowanet Etienne |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 1599 J St, Grand Forks Afb, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659361244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PAC0333 (North Dakota) | Primary |
363AM0700X | Physician Assistant - Medical | 815 (Minnesota) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Breezetta Lowanet Etienne, PA-C 1600 10th St Se, East Grand Forks, MN 56721-2252 Ph: (218) 773-1492 | Breezetta Lowanet Etienne, PA-C 1599 J St, Grand Forks Afb, ND 58205-6306 Ph: (701) 747-6687 |
Michael Klose, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1599 J St, Grand Forks Afb, ND 58205 Phone: 701-747-5601 | |
Kacie M Brown, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1113 Korina Ave Unit A, Grand Forks Afb, ND 58204 Phone: 614-499-7950 |